STI's- Chlamydia

Question 1

what is chlamydia caused by?

Answer 1

chlamydia trachomatis (serovars D to K)

Question 2

is it mainly symptomatic / asymptomatic in men?

Answer 2

> 70% asymptomatic

Question 3

is it mainly symptomatic / asymptomatic in women?

Answer 3

> 80% asymptomatic

Question 4

what are symptoms in males?

Answer 4

• watery discharge

- dysuria

Question 5

what are symptoms in females?

Answer 5

• vaginal discharge
• dysuria
• intermenstrual / post-coital bleeding

Question 6

what is a symptom that may occur in both males and females?

Answer 6

conjunctivitis

Question 7

what is a complication that may occur in men as a cause of chlamydia?

Answer 7

epididymitis

Question 8

what are complications that may occur in females as a cause of chlamydia?

Answer 8

-PID (hence ectopic pregnancy, pelvic pain and infertility)

Question 9

complications that may occur in both males and females?

Answer 9

• reactive arthritis

- Reiter’s Syndrome

Question 10

what is Reiter’s Syndrome?

Answer 10

a classic triad of conjunctivitis, urethritis and arthritis occurring after an infection

Question 11

what is the epidemiology of Chlamydia?

Answer 11

most common in women under 25

Question 12

how do you diagnose it in men?

Answer 12

first void urine sample, then NAAT

Question 13

how do you diagnose it in women?

Answer 13

swab from cervix, urethra or rectum as appropriate, then NAAT

Question 14

what is treatment?

Answer 14

Azithromycin PO once

Question 15

what additional antibiotic is given if there is rectal infection also?

Answer 15

Doxycycline

Question 16

what is the follow-up?

Answer 16

test for re-infection at 3-12months

test of cure not required unless symptoms persist