Summary Of The Evidence
There is no evidence relating to patient values and preferences but the Guideline Development Group agreed that there is probably no variability in the values people place on the outcomes. Research related to other conditions indicates that adherence may be improved with simpler medication regimens. The GDG therefore agreed that azithromycin may be more acceptable to patients since it is a single dose regimen . There is little to no evidence for equity issues and feasibility. Resistance in other infections that often co-occur with chlamydia may restrict the use of some medicines, such as ofloxacin. For many of these medicines, costs may differ between countries in places with high incidence of chlamydia, the cost differences between azithromycin and doxycycline may be large due to greater numbers of people requiring treatment.
In summary, there was moderate quality evidence for trivial differences in benefits and harms between azithromycin and doxycycline, and although the cost of azithromycin is higher, the single dose may make it more convenient to use than doxycycline. While the differences are also trivial with the other medicines, the evidence is low quality and these are therefore provided as alternatives, with the exception of delayed-release doxycycline, which is currently expensive.
See for list of references of reviewed evidence, and for details of the evidence reviewed, including evidence profiles and evidence-to-decision frameworks .
How Is Chlamydia Infection Diagnosed
Doctors have several tests they can use to screen for chlamydia. Note that screening for chlamydia in the throat isnt a part of usual STI testing.
If youve had a sore throat that doesnt seem to go away or have a partner that youve had oral sex with who tested positive for chlamydia, you might want to ask your doctor about pharyngeal chlamydia screening.
Doctors can use urine samples to diagnose chlamydia, but that doesnt help them diagnose chlamydia in the throat.
As a result, a doctor may swab your throat to test for chlamydia there. They send this swab to a laboratory, which tests the specimen for the presence of DNA from the bacteria that cause chlamydia.
This test is a little tricky because the Food and Drug Administration hasnt approved a swab test for pharyngeal chlamydia. Your throat contains a lot of bacteria, and this can make it hard to pinpoint chlamydia bacteria.
When a doctor uses a swab to test for chlamydia in the throat, its possible theyre doing so in an off-label fashion. This means the FDA hasnt specifically given the OK to use the test for pharyngeal chlamydia, but some doctors think swabs can help in detection.
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How Do I Know If I Have Chlamydia
If you suspect you have chlamydia, your doctor may want to test cervical or penile discharge or urine using one of several available methods.
In most cases of chlamydia, the cure rate is 95%. However, because many women don’t know they have the disease until it has caused serious complications such as pelvic inflammatory disease, sexually active women under age 25 and others at higher risk should be tested for chlamydia once a year during their annual pelvic exam even if they dont have symptoms.
Pregnant women should also be tested as part of their routine lab work.
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Chlamydia Treatment And Prevention
Milly DawsonSanjai Sinha, MDShutterstock
Chlamydia is easy to cure. If you test positive for chlamydia, basically you take an antibiotic, says Jill Rabin, MD, cochief in the division of ambulatory care for women’s health programs and prenatal care assistance program services for Northwell Health in New Hyde Park, New York.
Your partner must take an antibiotic, too, to keep them from reinfecting you, she says.
You have to have your partner treated, and if you have more than one partner, they should all be treated, says Dr. Rabin, regardless of your partners genders.
Even if you dont have chlamydia now, its wise to learn how to protect yourself so you wont develop this common infection in the first place. In women, chlamydia can create serious health problems, including infertility. Besides, no one ever wants to have a sexually transmitted disease and then have to tell other people about it.
How Is It Contracted
Chlamydia is transmitted primarily through sexual activity. The following are the most common ways:
- unprotected intercourse with an infected partner
- sharing sex toys
- from mother to the newborn during vaginal childbirth through the infected birth channel
- infection can be transferred on fingers from the genitals to other parts of the body
Chlamydia is not contracted through simple kissing, handshaking, any casual contacts, sharing baths, towels and cups as well as from toilet seats.
Chlamydia trachomatis, an obligate intracellular human pathogen, is one of four bacterial species in the genus Chlamydia. 3D illustration
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What Is The Best Over
Over the counter medications cannot be used to treat chlamydia. Effective treatment for chlamydia relies on antibiotics, which are only available with a prescription.
Over-use of antibiotics in a population can lead to bacteria, including Chlamydia trachomatis, becoming resistant to the medication. In an attempt to limit the development of this problem, antibiotics are generally only available with a doctor’s prescription.
If they were available over the counter, they would likely be used much more frequently, including in cases where a person did not in fact have an infection that could be treated with an antibiotic — leading to the development of resistant strains. In fact, even with antibiotics only available of prescription, experts believe that doctors currently prescribe antibiotics far too readily, contributing to the problem of resistance. The only antibiotics available without prescription are topical .
Treatment for chlamydia is quite simple but you will need to see a healthcare professional to obtain it. The Centers for Disease Control and Prevention recommends a range of antibiotics — in most cases, either azithromycin or doxycycline .
You also need to see a healthcare professional to have your condition accurately diagnosed — the symptoms of several other sexually transmitted infections are quite similar to those of chlamydia.
What Antibiotics Do You Get For Chlamydia
Chlamydia is one of the most common STDs. It can be treated easily if caught early. Some of the most recommended antibiotics used to treat chlamydia are azithromycin and doxycycline. Azithromycin is typically given as 2 tablets one time while doxycycline is given as 2 capsules a day for 7 days. These antibiotics are most effective if both partners have received treatment and have taken their prescription as directed.
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Can You Tell How Long Youve Had Chlamydia
Is it possible to tell how long I ve had chlamydia? Not usually, because chlamydia often doesnt cause any symptoms. This means you can have the infection without knowing you could have had it for months or even years. Depending on how many people you ve had sex with, it can be hard to trace it to one person.
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What Are The Treatments For Chlamydia
If you are diagnosed with chlamydia, your doctor will prescribe oral antibiotics. A single dose of azithromycin or taking doxycycline twice daily for 7 to 14 days are the most common treatments and are the same for those with or without HIV.
With treatment, the infection should clear up in about a week. Do not have sex for at least 7 days until you have taken all of your medication, and do not stop taking the antibiotics even if you feel better.
Your doctor will also recommend that your partner be treated as well to prevent reinfection and further spread of the disease.
Women with serious infections, such as pelvic inflammatory disease, may require a longer course of antibiotics or hospitalization for intravenous antibiotics. Some severe pelvic infections may require surgery in addition to antibiotic therapy.
Make sure you get retested after three months to be certain the infection is gone. Do this even if your partner has been treated and appears to be infection free.
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What Do I Need To Know If I Get Treated For Chlamydia
If youre getting treated for chlamydia:
- Take all of your medicine the way your nurse or doctor tells you to, even if any symptoms you may be having go away sooner. The infection stays in your body until you finish the antibiotics.
- Your partner should also get treated for chlamydia so you dont re-infect each other or anyone else.
- Dont have sex for 7 days. If you only have 1 dose of medication, wait for 7 days after you take it before having sex. If youre taking medicine for 7 days, dont have sex until youve finished all of your pills.
- Get tested again in 3-4 months to make sure your infection is gone.
- Dont share your medicine with anyone. Your nurse or doctor may give you a separate dose of antibiotics for your partner. Make sure you both take all of the medicine you get.
- Even if you finish your treatment and the chlamydia is totally gone, its possible to get a new chlamydia infection again if youre exposed in the future. Chlamydia isnt a one-time-only deal. So use condoms and get tested regularly.
What Happens If We Find A Problem With Your Blood
If you test positive for any of the diseases named above, you will be notified and your blood will not be used for transfusions. In addition, you may be asked to speak with one of our medical professionals at the blood bank and scheduled for a follow-up visit and further testing. Your consent for re-testing will be requested again at that time.
The names of donors with positive test results are kept in confidential files and will not be released without your written consent unless required by law. We will not notify you if your test results are negative and we do not find any problems or if the blood samples we collected were insufficient to provide enough blood to complete laboratory tests.
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Can You Get Chlamydia More Than Once
Yes, you can get the infection even if youve successfully treated it already.
A sexual partner who has chlamydia can transmit it to you again, even if youve already had it and treated it.
You can also get chlamydia again if it wasnt fully treated the first time. This can happen if you stop taking the necessary treatment. Its important to complete the antibiotics youve been given, even if your symptoms get better.
The CDC recommends getting tested 3 months after treatment of your initial infection to ensure the infection is cleared.
What You Need To Know About Azithromycin For Chlamydia Treatment
Chlamydia is one of the most common sexually transmitted diseases in America.
In fact, in 2018, four million infections occurred in the U.S. However, many cases may go unreported because people with chlamydia are often asymptomatic and therefore dont know they have an infection.
Because chlamydia can go undetected, regular testing is extremely important in both fighting the spread of the infection and in treating it.
If you happen to test positive, the good news is, the vast majority of chlamydia cases can be cured easily with antibiotics such as azithromycin.
In this article, Ill explain if azithromycin treats chlamydia, who can take this antibiotic, the best dosage to treat chlamydia, and how to take it.
Then Ill break down how azithromycin compares with another antibiotic, doxycycline, for treating chlamydia.
Finally, Ill share everything you need to know about being tested for chlamydia.
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How Is Oral Chlamydia Related To Other Chlamydias
Chlamydia is the name of a group of bacteria the type of chlamydia that affects genitals and the throat is called chlamydia trachomatis. This is only a subset of chlamydia bacteria and there other types.
Other types of chlamydias there are some alternative forms of chlamydia to the strain responsible for oral infections, including:
- Lymphogranuloma venereum this can also cause genital infections but is very rare in the UK
- Chlamydia psittaci which cause a flu-like illness
- Chlamydia pneumoniae which causes pneumonia in adults
Do tests vary between different types of chlamydia? yes. The tests for chlamydia will be different even for the same strain of chlamydia depending on where the infection is:
- Throat swab for mouth chlamydia
- Vulvovaginal swab for genital chlamydia in women
- A urine test for genital chlamydia in men
Other different strains or types of chlamydia also require different tests as they affect other parts of the body such as the lungs or eyes.
Does treatment vary between types of chlamydia? generally not very much. Because different types of chlamydia are still all bacterial infections, they are usually treated with broad spectrum antibiotics like doxycycline.
For diagnosis of C. trachomatis infection in men with suspected urethritis, the nucleic acid amplification technique to detect chlamydial and gonococcal infections is best .4 Empiric treatment should be considered for patients who are at high risk of being lost to follow-up.
What If I Forget To Take It
If you forget to take a dose, take it as soon as you remember, unless its nearly time for your next dose. In this case, just leave out the missed dose and take your next dose as normal.
Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.
If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to remember your medicines.
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Parents Have A Role In Chlamydia Prevention
Parents can do two main things to help their kids avoid getting chlamydia and other sexually transmitted infections , says Dombrowski. These two things are:
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Restrictions For Donating Blood If You Have An Std
There are varying timelines for when you can or cannot donate blood with STDs. When in doubt, reach out to your local blood bank and ask for their specific guidelines. You should not donate blood if you suspect you may have human immunodeficiency virus , acquired immunodeficiency syndrome , human T-lymphotropic virus , or hepatitis.
You can never donate blood if you:
- Are HIV positive or receiving HIV treatment
- Are HTLV positiveâ
- Are a carrier of Hepatitis B or C
The American Red Cross says you should not donate if you have done any of the following in the past three months:
- Were a sex worker
- Are a man and had sex with another man
- Had sexual contact with anyone who meets the above-listed criteria
- Injected recreational drugs
- Had a sex partner who is HIV or HTLV positive, a carrier of hepatitis B or C, or a partner who has injected drugs not prescribed by a doctorâ
- Took Pre-Exposure Prophylaxis or Truvada for preventing HIV
If you contracted syphilis or gonorrhea, wait three months following completion of your treatment to donate blood. If you have chlamydia, HPV, or genital herpes, you can still donate blood if you meet the other eligibility requirements.
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Does Azithromycin Work For Chlamydia
Azithromycin works to treat genital chlamydia in both men and women by stopping the bacteria from multiplying.
Studiessuggest that a one-gram dosage has 97% efficacy.
That means that for every 100 people who take azithromycin to treat chlamydia, 97 will be cured and three will not be cured.
In order to effectively treat chlamydial infections, azithromycin should be taken as prescribed and until the dosage is completed.
Ending the medication early increases the chance that the bacteria will not be completely killed off.
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How Long Does It Take For Chlamydia Symptoms To Clear
When taking antibiotics , symptoms usually settle quickly. Pain on passing urine and discharge go within a week, pelvic or testicular pain can take two weeks and menstrual irregularities should improve by the next cycle. Always complete the full course of antibiotic.
Chlamydia is unlikely to go away without treatment. Although symptoms may subside temporarily, infection may persist in the body without treatment. It is important to seek diagnosis and treatment to get rid of the infection.