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Chlamydia > Powerpoint > Flashcards

Powerpoint Flashcards

0
Q

True or False. Oral contraceptive use is a risk factor of chlamydia.

A

True.

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1
Q

True or False. Chlamydia is the second most frequently reported disease in the U.S.

A

False. It is the most frequently reported.

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2
Q

What are the 2 major ways that chlamydia are transmitted?

A
  1. Sexual

2. Vertical

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3
Q

What is the incubation period of chlamydia?

A

7-21 days.

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4
Q

What is a consequence of chlamydia exposure to the neonate?

A

Conjunctivitis.

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5
Q

What is one cause of NGU in men?

A

Chlamydia

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6
Q

What are some symptoms of NGU in men?

A

Mucopurulent, mucoid or clear urethral discharge, dysuria.

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7
Q

Name 2 major complications of chlamydia in men?

A
  1. Epididymitis
  2. Reiter’s Syndrome (also known as reactive arthritis, which involves the joints, urethra, and eyes in response to infections)

*> 50% are asymptomatic

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8
Q

What is epididymitis?

A

A consequence of chlamydia in men that manifest as swollen or tender testicles.

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9
Q

What 2 major female reproductive organs is usually affected by chlamydia in women?

A
  1. Cervicitis

2. Urethritis

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10
Q

In women, what are the signs and symptoms of chlamydia?

A

Most are asymptomatic.
If symptoms do occur, may manifest as mucopurulent endocervical discharge, edematous cervical ectopy with erythema and friability.
Dysuria, urinary frequency, pyuria

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11
Q

Name 3 major complications of chlamydia in women?

A
  1. PID (salphingitis and endometritis)
  2. Perihepatitis (Fitz-Hugh-Curtis-Syndrome)
  3. Reiter’s Syndrome
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12
Q

What are 2 major perinatal manifestations of chlamydia?

A
  1. Inclusion conjunctivitis

2. Pneumonia

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13
Q

What 3 major test technologies are used for chlamydia?

A
  1. Nucleic Acid Amplification Tests (NAATs)
  2. Non-Amplification Tests
  3. Serology
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14
Q

What is the gold standard of chlamydia diagnosis?

A

Culture. It is not suitable for widespread screening. It is highly specific.

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15
Q

What is the major benefit of using the NAAT for chlamydia?

A

It can also detect N.gonorrhoeae in the same specimen.

16
Q

What is the disadvantage of using the NAAT to dectect chlamydia?

A

It can not be used rectally or pharyngeally.

17
Q

What is the difference between the amplification (NAAT) and the non amplification test in detecting chlamydia?

A

The amplification test amplify and detect organism specific genome DNA or RNA.
The non amplification test uses fluorescent (DFA), enzymes (EIA), or DNA/RNA (NA probe).

18
Q

When is serology used for cases of detecting chlamydia?

A

Rarely used for complicated infections. It is mostly used in the criteria used in LGV diagnosis.

19
Q

What are the CDC recommended regimens for the treatment of uncomplicated genital chlamydial infections?

A

Azithromycin 1 g orally in a single dose, OR

Doxycycline 100 mg orally twice daily for 7 days

20
Q

What are the CDC recommended ALTERNATIVE regimens for the treatment of uncomplicated genital chlamydial infections?

A

Erythromycin
Ofloxacin
Levofloxacin

21
Q

What are the CDC recommended regimens for the treatment of uncomplicated genital chlamydial infections in PREGNANT women?

A

Azithromycin 1 g orally in a single dose OR
Amoxicillin 500 mg orally 3 times a day for 7 days

*Alternative is Erythromycin

22
Q

What are the CDC recommended regimens for the treatment of neonatal conjunctivitis and/or pneumonia?

A

Erythromycin base or ethylsuccinate 50mg/kg/day orally divided into 4 doses daily for 14 days.

23
Q

What are the CDC recommended regimens for the treatment of uncomplicated chlamydial in children who weigh <45 kg?

A

Erythromycin base or ethylsuccinate 50 mg/kg/day orally divided into 4 doses daily for 14 days.

24
Q

What are the CDC recommended regimens for the treatment of uncomplicated chlamydial in children who weigh at or more than 45 kg but are less than 8 years of age?

A

Azithromycin 1 g orally in a single dose.

25
Q

What are the CDC recommended regimens for the treatment of uncomplicated chlamydial in children who are older than 8 years of age?

A

Azithromycin 1 g orally in a single dose, OR

Doxycycline 100 mg orally twice a day for 7 days

26
Q

What is the CDC recommended treatment for Lymphogranuloma Venereum (LGV)?

A

Doxycyline 100 mg twice a day for 21 days

*Alternative is Erythromycin base 500 mg orally 4 times a day for 21 days

27
Q

What is the repeat testing after treatment recommendation for pregnant women treated for chlmaydia?

A

Repeat testing using NAAT 3 weeks after completion of recommended therapy.

28
Q

True or False. Test of cure is recommended for non pregnant women after treatment of chlamydia.

A

False. Only if their is a question of compliance, symptoms persist, re-infection is suspected, or an adolescent.

*Another slide contradicts this info by stating that a retest should be done on all women treated for chlamydia when they next present for care within 12 months.

29
Q

What is the test of cure recommendation for adolescents treated for chlamydia?

A

Repeat test 3-4 months after treatment, or screen at next health care visit.

30
Q

In sexually active woman age ___ years and under, an _____ screening should be done to test for chlamydia.

A

25; annual

31
Q

In pregnant women, when should testing for chlamydia occur?

A

At first prenatal visit and at third trimester ( but only women that are <25 years or increased risk for chlamydia)

Chlamydia (1 decks)

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