Infection - Chlamydia

Question 1

What is the most prevalent STI in the UK?

Answer 1

Chlamydia

Question 2

What organism causes chlamydia?

Answer 2

Chlamydia trachomatis - obligate intracellular pathogen

Gram negative bacteria

Question 3

Chlamydia presentation?

Answer 3

• Intermenstrual bleeding
• Abnormal vaginal discharge
• ## Pelvic pain / dyspareunia / dysuria

Question 4

Neonates symptoms of chlamydia?

Answer 4

Pneumonia

Conjunctivitis

Question 5

How to investigate for chlamydia?

Answer 5

Vulvovaginal swab analysed by NAAT

Question 6

Screening for chlamydia?

Answer 6

National screening programme

• annual for under 25 if sexually active
• ## Any positive test, retest 3 months after treatment

Question 7

What is screened for during STI screen?

Answer 7

Chlamydia
Gonorrhoea
Syphillis
HIV

Question 8

How to medically manage chlamdyia?

Answer 8

Oral doxycycline 2/day for 7 days

2nd line - azithromycin 1g stat *

* 1st line for pregnancy or breast feeding

Question 9

Contact tracing for chlamydia?

Answer 9

All partners from last 6 months must be contacted
Treat then test for the contacts!

Question 10

Which complications can occur with chlamydia?

Answer 10

Pelvic inflammatory disease (peritonitis / abscess)
Epididymitis
Fertility
Perihepatitis
Ocular complications (trachoma conjunctivitis)