Flashcards
Describe the asymptomatic presentation of Chlamydia in women and men.
Around 70% of women and 50% of men with Chlamydia are asymptomatic. Women may experience cervicitis with symptoms like discharge and bleeding, while men may have urethral discharge and dysuria.
What is the recommended first-line testing method for Chlamydia in women and men?
For women, the vulvovaginal swab is the first-line test, while for men, the urine test is recommended.
How soon should Chlamydia testing be conducted after a possible exposure?
Chlamydia testing should be carried out two weeks after a possible exposure.
What are the management options for Chlamydia infection?
Management options include a 7-day course of doxycycline or a single dose of azithromycin. Azithromycin is preferred first-line due to potential compliance issues with doxycycline.
Describe the partner notification process for patients diagnosed with Chlamydia.
Patients diagnosed with Chlamydia should be offered a choice of provider for partner notification, either trained practice nurses with GUM support or referral to GUM. Contacts should be treated prior to test results.
What treatment options are recommended for pregnant individuals with Chlamydia?
Pregnant individuals with Chlamydia may be treated with azithromycin, erythromycin, or amoxicillin.
What is the recommended partner notification timeline for men with urethral symptoms?
Men with urethral symptoms should notify all contacts since, and in the four weeks prior to, the onset of symptoms.
How far back should partners be contacted for women and asymptomatic men with Chlamydia?
Partners from the last six months or the most recent sexual partner should be contacted for women and asymptomatic men with Chlamydia.
Describe epididymitis
Inflammation of the epididymis, a tube located at the back of the testicles that stores and carries sperm.
Define pelvic inflammatory disease
An infection of the female reproductive organs, including the uterus, fallopian tubes, and ovaries.
How does endometritis manifest?
It is the inflammation of the inner lining of the uterus, often causing abnormal vaginal discharge and pelvic pain.
What is the consequence of increased incidence of ectopic pregnancies?
Higher risk of complications such as rupture of the fallopian tube and internal bleeding.
Do individuals with infertility face challenges in conceiving?
Yes, infertility refers to the inability to conceive after a year of regular, unprotected intercourse.
Describe reactive arthritis
A condition characterized by joint pain and swelling triggered by an infection in another part of the body.
What is perihepatitis also known as?
Fitz-Hugh-Curtis syndrome, which involves inflammation of the membrane surrounding the liver.
