Chlamydia D-K (Genital)

Other Infective Causes of Vaginal Discharge

Genital Chlamydia

  • Infection is increasingly common
    • Associated with adverse fetal outcome including
      • spontaneous miscarriage
      • premature rupture of membrances
      • intrauterine growth retardation
  • Most common sexually transmitted bacterial infection in the UK
  • Half infected me and 70% of women are asymptomatic
  • If your partners got it then you’ve got a 66% change of having it

In babies its acquired in the birth canal and causes inclusion conjunctivitis

In adults is sexually transmitted and causes:

Men

  • Uretritis
  • Epidiymitis
  • Proctitis
  • Arthritis

Women

  • Cervicitis
  • Urethritis
  • Pelvic Inflammatory Disease
  • Arthritis

Half of cases of cervicitis are caused by chlamydia

60% of cases of PID are caused by chlamydia

Complications:

  • Ectopic prgnancy
  • Tubal infertility

Managment

  • Ref to GUM for further screen and contact tracing
  • Doxycylcine 100mg BD for 7 days if NOT PREGNANT
  • or azithromycin 1g as single dose
  • Or ertyhtomycin 500mg BD for 10-14dyas, or ofloxacin 200mg bd
  • Avoid sex

In pregnancy:

  • Erythromycin 500mg QDS for 7 days or BD of 14 days
  • Amoxicillin 500mg RDS for 7 days
  • Azithromycin 1g stat – but only if there are NO OTHER ALTERNATIVES

NB: You should test them for cure 5 weeks after treatment (6wks if azithromycin is used)