Miller is an assistant medical editor of American Family Physician. Address correspondence to Karl E. Miller, M. Reprints are not available from the author. Sexually transmitted disease surveillance supplement.
Atlanta: Centers for Disease Control and Prevention, Sexually transmitted diseases treatment guidelines Centers for Disease Control and Prevention.
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Screening for chlamydial infection. Am J Prev Med. Prevalence of chlamydia and gonorrhea among a population of men who have sex with men. Sex Transm Infect. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.
Contact afpserv aafp. Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Next: Papules and Plaques on the Nose. Apr 15, Issue. Diagnosis and Treatment of Chlamydia trachomatis Infection. Chlamydia trachomatis infection most commonly affects the urogenital tract. A 2 , 6 Amoxicillin is recommended for the treatment of chlamydial infection in women who are pregnant.
A 2 , 7 , 8 Patients who are pregnant should be tested for cure three weeks after treatment for chlamydial infection. C 2 Women with chlamydial infection should be rescreened for infection three to four months after completion of antibiotic therapy. C 2 All women who are 25 years or younger or at increased risk of sexually transmitted diseases should be screened for chlamydial infection annually.
TABLE 1 CDC-Recommended Regimens for Uncomplicated Urogenital Chlamydial Infection in Adults Recommended Azithromycin Zithromax 1 g orally in a single dose Doxycycline Vibramycin mg orally twice per day Alternatives Erythromycin base mg orally four times per day Erythromycin ethylsuccinate mg orally four times per day Ofloxacin Floxin mg twice per day Levofloxacin Levaquin mg once per day note : All regimens except azithromycin are for a total of seven days.
TABLE 2 CDC-Recommended Regimens for Treatment of PID Oral Ofloxacin Floxin mg orally twice daily for 14 days or levofloxacin Levaquin mg orally once daily for 14 days; with or without metronidazole Flagyl mg orally twice daily for 14 days Alternative: Ceftriaxone Rocephin mg IM in a single dose or cefoxitin Mefoxin 2 g IM in a single dose with concurrent probenecid Benemid 1 g orally in single dose or other parenteral third-generation cephalosporin; plus doxycycline Vibramycin mg orally twice daily for 14 days with or without metronidazole mg orally twice daily for 14 days Parenteral Cefotetan Cefotan 2 g IV every 12 hours or cefoxitin 2 g IV every six hours; plus doxycycline mg orally or IV every 12 hours Alternatives: Clindamycin Cleocin mg IV every eight hours; plus gentamicin loading dose IV or IM 2 mg per kg followed by a maintenance dose 1.
Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Either you or someone from the clinic can speak to them, or the clinic can send them a note to let them know they may have been exposed to a sexually transmitted infection STI.
The note will suggest that they go for a check-up. It will not have your name on it, so your confidentiality will be protected. Page last reviewed: 01 September Next review due: 01 September The two most commonly prescribed antibiotics for chlamydia are: doxycycline — taken every day for a week azithromycin — one dose of 1g, followed by mg once a day for 2 days Your doctor may give you different antibiotics, such as amoxicillin or erythromycin , if you have an allergy or are pregnant or breastfeeding.
When can I have sex again? Will I need to go back to the clinic? However, you will be advised to go back for another chlamydia test if: you had sex before you and your partner finished treatment you forgot to take your medication or didn't take it properly your symptoms don't go away you're pregnant If you're under 25 years of age, you should be offered a repeat test for chlamydia 3 to 6 months after finishing your treatment because you're at a higher risk of catching it again.
It is important to take all of the medication prescribed to cure chlamydia. Medication for chlamydia should not be shared with anyone. Although medication will stop the infection, it will not repair any permanent damage done by the disease.
Repeat infection with chlamydia is common. Women whose sex partners have not been appropriately treated are at high risk for re-infection. Women and men with chlamydia should be retested about three months after treatment of an initial infection, regardless of whether they believe that their sex partners were successfully treated. Chlamydial infection in infants can be treated with antibiotics.
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