GU- Chlamydia

Question 1

chlymadia

Answer 1

most frequently reported STI

leads to PID and infertility problems

Question 2

who gets tested and when

Answer 2

all SA women <25 years old yearly

no recommendations for hetero males

at onset of pregnancy and agian in third trimester for anyone under 25 and older if at risk

MSM at sites of rectum and urethra annually

Question 3

s/s

Question 4

Chlamydia Diagnostic testing

Answer 4

tissue culture

NAAT-uses swabs or urine sample- high sensitivity

Question 5

diff dx

Answer 5

other STI’s - gonnorrhea

Question 6

Chlamydia treatment

Answer 6

Azithromycin or doxycycline

Question 7

azithromycin

Answer 7

1g po single dose

Question 8

doxycycline

Answer 8

100 mg PO BID X7 days

only for 8 and up

Question 9

how long should patients abstain after taking meds?

Answer 9

7 days

Question 10

who needs re-tested

Answer 10

everyone rescreen in 3 months (test of reinfection not TOC)

pregnancy in 3-4 weeks TOC

also test for other STI’s

Question 11

Classic STD coctail

Answer 11

250mg ceftriaxone (rocephin) IM

1g Azithromycin PO

2g Metronidazole PO