Chlamydial Infection

Chlamydia infection one of the most common sexually transmitted infection.

Causative organisms-

Chlamydia trichomatis (gram negative bacteria)

Incubation period-

6 to 14 days

Site of infection-

Ascending infection, vagina,cervix, fallopian tubes,anus, urethra, throat,or eye.

Indication-

1)Chlamydia is highest among women between 15-24years old.

2)Prevalence groups 

A)Who have more than one sexual partner.

B)Whose sexual partner have more than one partner.

C)Who don't use condoms.

D)With a history of STIs.

Transmission- 

Through unprotected sex-passed through vaginal,anal,and oral sex.

To baby during delivery.

It can also be passed to the eye by a hand or other body part moistened with infection secretions.

Symptoms---

Asymptomatic-usually Chlamydia doesn't have symptoms

But,when occurs it can include:

 Postcoital bleeding

Intermenstrual bleeding

Pain in the abdomen

Pain during intercourses (Dyspareunia)

Fever

Dysuria

A burning feeling when urinating

The need to urinate more than usual

Mucopurulent discharge from the vagina

Pain, itching, bleeding and/or mucus discharge of the rectum.

Redness, itching,and/or discharge of the eyes.

Diagnosis-

Culture-samples from the urine,vaginal swab ,or cervical discharge

Nucleic acid amplification technique.

Treatment--

Azithromycin 1gm single dose in pregnancy.

Amoxycilline 500mg TDS for days or

Ofloxacin 200mg BD for days or

Doxycycline 100mg BD for 7 days