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Chlamydia Infection (Sexually Transmitted)

Casandra Cashman, MD, FAAFP Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Chlamydia trachomatis is an intracellular membrane-bound prokaryotic organism. Chlamydia derives from the Greek word for “cloak.”

  • Chlamydia is the most common bacterial sexually trans...

DIAGNOSIS

Many patients are asymptomatic. 
Pregnancy Considerations
  • Test all patients at first prenatal visit.

  • Obtain repeat testing 3 to 4 weeks after treatment for all pregnant patients with confirmed ...

TREATMENT

GENERAL MEASURES

  • Offer patients concurrent testing for gonorrhea, HIV (after counseling and consent), and possibly syphilis. Ensure women are up to date with recommended cervical cancer scree...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Abstain from sexual contact for at least 7 days after treatment (single-dose treatment) or until completion of the full course of other antibiotics. 

Patient Monitoring

REFERENCES

1
Centers for Disease Control and Prevention. 2016 sexually transmitted disease surveillance. http://www.cdc.gov/std/stats16/chlamydia.htm. Accessed June 29, 2018. http://www.cdc.gov/std/sta...

ADDITIONAL READING

CODES

ICD10

  • A56.8 Sexually transmitted chlamydial infection of other sites

  • A56.01 Chlamydial cystitis and urethritis

  • A56.02 Chlamydial vulvovaginitis

  • A71.9 Trachoma, unspecified

  • A56.09 Other chlamydial inf...

CLINICAL PEARLS

  • C. trachomatis is common in young sexually active individuals. Annual screening is recommended in sexually active women 25 years of age and younger and in other individuals with known ...

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