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Chlamydia

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  • If chlamydia infection is suspected or confirmed, strongly recommend referral to a genito-urinary medicine (GUM) clinic for management (NICE)
  • If the person declines, or is unable to attend a GUM clinic, manage in primary care
Treatment
  • First-line
    • Doxycycline 100 mg twice daily for 7 days
  • Second-line
    • Azithromycin 1 g orally for one day, then 500mg orally once daily for two days or erythromycin 500 mg twice daily for 10–14 days
  • Third-line
    • Ofloxacin 200 mg twice daily for 7 days or 400 mg once daily for 7 days (contraindicated in children and growing adolescents)
Pregnancy
  • Azithromycin, 1 g orally for one day, then 500mg orally once daily for two days, or
  • Erythromycin 500 mg four times daily for seven days, or
  • Erythromycin 500 mg twice daily for 14 days, or
  • Amoxicillin 500 mg three times a day for seven days.
The following must be covered
  • Advise that sexual intercourse (including oral sex) should be avoided until the person and their partner(s) have completed treatment (or waited 7 days after treatment with azithromycin)
  • Refer all people with confirmed chlamydia infection to a GUM clinic for partner notification, for screening of other STIs.
  • If the person is unwilling or unable to attend a GUM clinic, advise them that (with their consent) their details can be provided to the GUM clinic solely for the purposes of partner notification
  • Ensure that the person's current partner is treated for chlamydia irrespective of their screening result
  • Urgently refer the person to GUM if there is no response to first-line treatment
Patient Information

Chlamydia Patient Information Leaflet

https://www.fpa.org.uk/sites/default/files/chlamydia-information-and-advice.pdf

Chlamydia Management form from folder

 

 

References

nhs.co.uk

fpa.org.uk

nice.co,uk

Joomla Erythromycin azithromycin ciprofloxacin Amoxicillin Doxycycline

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