Chlamydia Trachomatis Flashcards
what is the most common bacterial STI?
chlamydia
what is chlamydia?
intracellular bacteria that affect columnar epithelium that can be transmitted vaginally, orally or anally
most likely age group to get chlamydia
20-24
classification
serovars A-C
serovars D-K
serovars L1-3
what are serovars A-C?
endemic trachoma (ocular infections seen mostly in developing countries)
what are serovars D-K?
genital infections
what are serovars L1-3?
lymphogranuloma venereum (genital ulcerative disease/ proctitis)
how likely is PID?
9% of women
what does an episode of PID increase the risk of?
ectopic pregnancy
tubal infertility
presentation in males
asymptomatic
milky urethral discharge
abdominal pain
dysuria
presentation in females
asymptomatic
irregular bleeding
abdominal pain
complications
PID ectopic pregnancy conjunctivitis reactive arthritis Fitz Hugh-Curtis neonatal transmission
what is Fitz Hugh-Curtis?
perihepatitis= piano string adhesions in liver capsule
diagnosis
do not grow or grain stain
combined NAAT kits using VVS, first void urine, throat and rectal swabs
microscopy
amies swab for HSV
who gets LGV?
MSM
presentation of LGV
rectal pain
bleeding
discharge
risk in LGV
concurrent STIs (HIV)
management of chlamydia
doxycycline 100mg BD x 1 week OR
azithromycin 1g stat followed by 500mg daily for 2 days
management of PID
ceftriaxone 1g IM, doxycycline 100mg BD and metronidazole 400mg BD x 2 weeks
