Chlamydia

Chlamydia

Screening Chlamydia is a preventable cause of infertility, ectopic pregnancy, and pelvic inflammatory disease.

Screening using urine testing or self-taken swabs

Presentation in men

Usually asymptomatic. May have urethritis. Send a urethral swab or first-catch urine sample for nucleic acid amplification testing (NAAT) to confirm the diagnosis.

Presentation in women

Mostly asymptomatic

Vaginal discharge

Post-coital

Intermenstrual bleeding

Dysuria

Examination

Mucopurulent cervicitis;

Hyperaemia and oedema of the cervix ± contact bleeding

Tender adnexa;

Investigation

Send endocervical (if symptoms) or self-taken vulvovaginal swab

Urine sample for chlamydia direct examination

Management

Azithromycin 1 gm stat

Or

Doxycycline 100 mg BD for 7 days