So What Is The Best Treatment For Chlamydia
Current guidance from both the National Institute of Clinical Excellence and the British Association for Sexual Health and HIV, state that doxycycline is the preferred and first-line treatment for chlamydia. This is due to antibiotic resistance, as research has shown that chlamydia responds better to doxycycline. Azithromycin should be used where doxycycline is not safe to be prescribed, and for patients who may experience difficulty in sticking to a one-week regime. To find out more information, you can visit our chlamydia FAQâs.
Whilst all of our content is written and reviewed by healthcare professionals, it is not intended to be substituted for or used as medical advice. If you have any questions or concerns about your health, please speak to your doctor.
What Happens If Chlamydia Goes Untreated
If a person is not treated for chlamydia, complications may occur. Women frequently develop pelvic inflammatory disease . PID can cause infertility , chronic pelvic pain, tubal pregnancies, and the continued spread of the disease. In men, untreated chlamydia can cause urethral infection and complications such as swollen and tender testicles. Chlamydia infection during pregnancy may result in premature rupture of membranes, preterm delivery and possible tubal pregnancy in a small percent of women. In addition, chlamydia can cause conjunctival and pneumonic infection in the newborn. Persons with a chlamydia infection have an increased chance of getting other infections such as gonorrhea or HIV.
How Will I Know If I Have Chlamydia
You can only be certain you have chlamydia if you have a test.
Anyone can get chlamydia. Youre more likely to have it if youre under 25, have a new sexual partner, or more than one sexual partner in the last year, and if you havent used condoms.
You should have a test if:
- you, or a partner, have or think you might have symptoms
- youve recently had sex without a condom with a new partner
- you, or a partner, have had sex without a condom with other partners
- during a vaginal examination, your doctor or nurse says that the cervix is inflamed and/or theres an unusual discharge
- a sexual partner tells you they have a sexually transmitted infection
- you have another STI.
If you live in England, and youre a woman who is under 25 and sexually active, its recommended that you have a chlamydia test when you change sexual partner and once a year.
If youre a man who is under 25 and sexually active, its recommended that you have a chlamydia test once a year if you are not using condoms with new or casual partners.
You could still have chlamydia even if a partner has tested negative. The only way to make sure you dont have chlamydia is to get tested yourself.
If you have chlamydia, youll be encouraged to be tested for other STIs as you can have more than one STI at the same time.
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How Supplied/storage And Handling
Azithromycin for Injection, USP is supplied in lyophilized form under a vacuum in a 10 mL single-dose vial equivalent to 500 mg of azithromycin for intravenous administration. Each vial also contains sodium hydroxide and 413.6 mg anhydrous citric acid.
These are packaged as follows
10 vials of 500 mg NDC 67457-700-10
Storage: Store at 20° to 25°C .
How Will I Know If The Chlamydia Has Affected My Fertility
Chlamydia is just one of many factors that can affect your fertility. Most people whove had chlamydia wont become infertile or have an ectopic pregnancy . If youve had chlamydia you wont normally be offered any routine tests to see if youre fertile unless you or a partner are having difficulty getting pregnant. If youre concerned, talk to your doctor or practice nurse.
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Does Chlamydia Treatment Have Side Effects
An antibiotic called Doxycycline is the most common medicine used to treat chlamydia. Like most medicines, it can cause mild side effects. The most common side effects of Doxycycline are nausea, vomiting, upset stomach, loss of appetite, mild diarrhea, skin rash or itching, change in skin color, vaginal itching, or discharge. These side effects should go away after you finish taking the medicine. Talk to your nurse or doctor about any medicines youre already taking and any medical issues you already have before taking Doxycycline.
Will I Need To Go Back To The Clinic
If you take your antibiotics correctly, you may not need to return 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.
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Whats The Treatment For Chlamydia
Chlamydia is usually easy to get rid of. Your nurse or doctor will get you antibiotics to treat the infection. Sometimes you only have to take one dose of medication. Another chlamydia treatment lasts for 7 days. Your doctor will help you figure out which treatment is best for you.
If youre treated for chlamydia, its really important for your sexual partners to get treated also. Otherwise, you can keep passing the infection back and forth, or to other people. Sometimes your doctor will give you medicine for both you and your partner.
What’s The Treatment For Chlamydia
Chlamydia is treated with antibiotics. If you take the treatment according to instructions, its over 95% effective at treating chlamydia.
- Youll be given a course of antibiotics for 3 or 7 days or sometimes up to two weeks.
- If theres a high chance you have chlamydia, treatment may be started before the results of the test are back. Youll always be given treatment if a sexual partner is found to have chlamydia.
- You may also need other treatment if complications have occurred.
- Tell the doctor or nurse if youre pregnant, or think you might be, or youre breastfeeding. This may affect the type of antibiotic youre given.
- Complementary therapies cant cure chlamydia.
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How To Take It
Azithromycin is taken one time orally and can be taken with or without food. Its important to take it as directed by your doctor.
It takes approximately 1 week for azithromycin to cure chlamydia. Avoid having sex while under treatment, as its still possible to pass or worsen the infection during treatment.
Before Taking This Medicine
You should not take ceftriaxone if you are allergic to cefazolin or any other cephalosporin antibiotic .
Do not use ceftriaxone in a child without a doctor’s advice, and never give more than the child’s prescribed dose. Ceftriaxone injection could be dangerous when given to a newborn baby with any intravenous medicines that contain calcium, including total parental nutrition .
Tell your doctor if you have ever had:
-
liver or kidney disease
Tell your doctor if you are pregnant or breastfeeding.
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What Happens If You Dont Get Treated For Chlamydia
Even though chlamydia is common and doesnt usually cause any symptoms, it can become a big deal if its not caught and treated early.
Chlamydia can spread to your uterus and fallopian tubes if it goes untreated for a long time. This can cause you to have pelvic inflammatory disease . PID can cause permanent damage that leads to pain, infertility, or ectopic pregnancy. So getting tested regularly for chlamydia really lowers your chances of getting PID.
Having chlamydia may increase your chances of getting or spreading HIV.
If you have chlamydia during your pregnancy and dont treat it, you can pass it to your baby when youre giving birth. Chlamydia can also cause eye infections and pneumonia in newborns, and it also increases the risk of delivering your baby too early.
Testing and treatment for chlamydia is quick, easy, and the best way to avoid all of these problems.
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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Infant Pneumonia Caused By C Trachomatis
Chlamydial pneumonia among infants typically occurs at age 13 months and is a subacute pneumonia. Characteristic signs of chlamydial pneumonia among infants include a repetitive staccato cough with tachypnea and hyperinflation and bilateral diffuse infiltrates on a chest radiograph. In addition, peripheral eosinophilia occurs frequently. Because clinical presentations differ, all infants aged 13 months suspected of having pneumonia, especially those whose mothers have a history of, are at risk for , or suspected of having a chlamydial infection should be tested for C. trachomatis and treated if infected.
Diagnostic Considerations
Specimens for chlamydial testing should be collected from the nasopharynx. Tissue culture is the definitive standard diagnostic test for chlamydial pneumonia. Nonculture tests can be used. DFA is the only nonculture FDA-cleared test for detecting C. trachomatis from nasopharyngeal specimens however, DFA of nasopharyngeal specimens has a lower sensitivity and specificity than culture. NAATs are not cleared by FDA for detecting chlamydia from nasopharyngeal specimens, and clinical laboratories should verify the procedure according to CLIA regulations . Tracheal aspirates and lung biopsy specimens, if collected, should be tested for C. trachomatis.
Treatment
Erythromycin base or ethylsuccinate 50 mg/kg body weight/day orally divided into 4 doses daily for 14 days
Azithromycin suspension 20 mg/kg body weight/day orally, 1 dose daily for 3 days
What Happens If I Get Chlamydia When I’m Pregnant
- Chlamydia during pregnancy has been associated in very rare cases with problems such as premature birth, and infection of the uterus lining after the birth.
- It can be passed to the baby during the birth and before the baby is born. This can cause inflammation and discharge in the babys eye and/or pneumonia.
- You may be offered a chlamydia test as part of your antenatal care.
- Chlamydia can be treated with antibiotics when youre pregnant and when youre breastfeeding. The antibiotics wont harm the baby, but do tell the doctor or nurse that youre pregnant or breastfeeding.
- Youll be advised to have another test after you complete your treatment.
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What Is Feline Rhinotracheitis
Feline rhinotracheitis is an infectious disease that can infect cats at any age and is triggered by the common feline herpesvirus type-1 . This disease is species-specific and only known to infect wild and domesticated cats.
Cats contract FHV-1 through direct contact with virus particles from saliva and discharges from the eyes and nose of infected cats. Infection can come from direct contact with another cat or contact with an object or surface.
An upper respiratory disease FHV-1 can cause:
Some Side Effects Can Be Serious If You Experience Any Of These Symptoms Call Your Doctor Immediately:
- bloody, or watery stools, stomach cramps, or fever during treatment or for up to two or more months after stopping treatment
- stomach tenderness, pain or bloating
- nausea and vomiting
- severe pain in the side and back below the ribs
- painful urination
- urinating more often than usual
- pink, brown, red, cloudy, or bad smelling urine
- swelling in legs and feet
- a return of fever, sore throat, chills, or other signs of infection
- peeling, blistering, or shedding skin
- difficulty swallowing or breathing
- swelling of the throat or tongue
Ceftriaxone injection may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
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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:
Why Early Treatment Is Needed
Chlamydia treatment should be started promptly. Studies suggest that delayed treatment can increase the risk of pelvic inflammatory disease , which can lead to infertility. Early treatment also reduces the risk of passing the infection to others.
According to the Centers for Disease Control and Prevention , the antibiotic doxycycline is the drug of choice for adults and adolescents with chlamydia. If doxycycline cannot be used, the antibiotics azithromycin or levofloxacin may be prescribed.
All of these antibiotics are taken by mouth. The recommended dose and duration of treatment vary by the antibiotic type.
| Recommendation for Adults and Adolescents | |
|---|---|
| Regimen | |
| Levofloxacin | 500 mg taken by mouth once daily for seven days |
Treatment with azithromycin may seem easier since it’s only one dose. However, the treatment failure rate in males is higher when compared to doxycycline. It may also be less effective in treating chlamydia in the rectum, mouth, or throat.
While levofloxacin is an effective treatment, it is a far more costly drug.
There are no specific follow-up recommendations after the completion of treatment. If you continue to have symptoms, however, see your healthcare provider.
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Get Retested Following Treatment
Many people have more than one chlamydia infection. If youre a girl or woman and your sex partners are not treated for the infection, you will be at high risk for reinfection. Repeated infections with chlamydia make it much more likely that your ability to have children will be affected. Repeated infections also raise your risk of painful complications, such as pelvic inflammatory disease.
Both women and men with chlamydia should be retested about three months after they are first diagnosed and treated. Go to be retested even if you think your sex partners were successfully treated.
Where Can I Get A Test
There are a number of services you can go to. Choose the one you feel most comfortable with.
A chlamydia test can be done at:
- a genitourinary medicine or sexual health clinic
- your general practice
- contraception and young peoples clinics
- some pharmacies.
Abortion clinics, antenatal services and some gynaecology services may also offer a chlamydia test.
In England, if youre a woman aged under 25 years old, you may be offered a chlamydia test as part of the National Chlamydia Screening Programme when you visit some service for other reasons, for example at a pharmacy or your GP.
The NCSP aims to identify people without symptoms to reduce the complications of untreated infection. If chlamydia is not treated, it can cause health complications, especially in women. Untreated chlamydia in women can cause pain in the pelvis, ectopic pregnancy and infertility .
If you are a woman aged under 25 years old and you are offered a chlamydia test as part of the NCSP you should consider taking it.
In many areas, free home self-sampling tests for chlamydia are available to order online. This is where you take your own sample and send it to be tested. See www.nhs.uk
Its also possible to buy a chlamydia test to do at home. The accuracy of these tests varies. Some types are very accurate when carried out according to the instructions, others can be less reliable. If you buy a testing kit make sure you get advice from a pharmacist or your doctor.
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When Will The Signs And Symptoms Go Away
You should notice an improvement quite quickly after having treatment.
- Discharge or pain when you urinate should improve within a week.
- Bleeding between periods or heavier periods should improve by your next period.
- Pelvic pain and pain in the testicles should start to improve quickly but may take up to two weeks to go away.
If you have pelvic pain or painful sex that doesnt improve, see your doctor or nurse as it may be necessary to have some further treatment or investigate other possible causes of the pain.
Chlamydial Infection Among Adolescents And Adults
Chlamydial infection is the most frequently reported bacterial infectious disease in the United States, and prevalence is highest among persons aged 24 years . Multiple sequelae can result from C. trachomatis infection among women, the most serious of which include PID, ectopic pregnancy, and infertility. Certain women who receive a diagnosis of uncomplicated cervical infection already have subclinical upper genital tract infection.
Asymptomatic infection is common among both men and women. To detect chlamydial infection, health care providers frequently rely on screening tests. Annual screening of all sexually active women aged < 25 years is recommended, as is screening of older women at increased risk for infection . In a community-based cohort of female college students, incident chlamydial infection was also associated with BV and high-risk HPV infection . Although chlamydia incidence might be higher among certain women aged 25 years in certain communities, overall, the largest proportion of infection is among women aged < 25 years .
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