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Quick Scroll CHLAMYDIA 03.12.06 (2 years ago) #1

CHLAMYDIA

Most common STD
Females outnumber males 6 to 1
Cervix is site of infection
Most women are asymptomatic until the pain and fever from PID occur

If symptomatic - discharge, painful urination, lower abdominal pain, bleeding, fever and nausea
Complications include; cervicitis, infertility, chronic pain, salpingitis, ectopic pregnancies, stillbirths, reactive arthritis.


20-40% of women infected with chlamydia will develop PID (Pelvic Inflammatory Disease)
9% ectopic pregnancy
20% will become infertile
18% chronic pelvic pain


Otitis media in infants
Inclusion conjunctivitis
Sterility

Urethritis
Epididymitis
Proctitis
Cervicitis
Endometritis
Salpingitis
Perihepatitis

Diagnostic Methods :
Direct fluorescent antibody
Enzyme immunoassay
Nucleic acid hybridization (DNA probe)
Cell culture
DNA amplification


Treatment
Doxycycline 100 mg orally 2 times a day for 7 days or
Azithromycin (Zithromax) 1 g orally


Azithromycin and doxycycline are equally effective
abstain from sexual intercourse for 7 days
sex partners must be evaluated and treated
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Quick Scroll 04.05.06 (2 years ago) #2

Whether it causes salphingitis or not is debatable..

The organism has been isolated from fallopian tubes, but it does not cause inflammation there..
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Quick Scroll 04.05.06 (2 years ago) #3

yes it causes salpingitis..
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