Materiały źródłowe

• #1 Chlamydia – Women’s Health Guide – Public Health

  https://www.publichealth.va.gov/infectiondontpassiton/womens-health-guide/stds/chlamydia.asp

  Chlamydia is an infection caused by bacteria. It is the most commonly reported sexually transmitted disease (STD) in the United States. […] Women get chlamydia through vaginal, oral, or anal sexual contact with an infected person. […] 75% of infected women and 50% of infected men have no signs. Signs in women include: Increased or unusual vaginal discharge, Burning with urination, Pain in the back or abdomen, Nausea, Fever, Discomfort during sex, Bleeding between periods, Rectal pain, bleeding, or discharge, Sore throat. Most women with chlamydia do not show any signs of infection. […] The only way to know if you have chlamydia is by a medical exam. Most women with chlamydia do not have any signs of infection. See your health care provider to be tested for chlamydia each year if you: Are age 25 or younger and are sexually active, Are older than 25 with new or multiple sex partners, Do not practice safe sex, Are having sex with someone who might be having sex with others, Are pregnant.

• #2 Urgent Care for Chlamydia: Rapid Test & Treatment – Same Day Results | NextCare

  https://nextcare.com/what-we-treat/std-testing-screening/urgent-care-chlamydia/

  Chlamydia is a common sexually transmitted infection (STI) caused by the bacteria Chlamydia trachomatis. This bacterial infection can affect both men and women, often leading to health complications if left untreated. Untreated chlamydia infections can cause serious issues, such as pelvic inflammatory disease (PID) in women, potentially impacting fertility. Early detection and chlamydia treatment are essential to prevent long-term health risks and protect your sexual health. […] Chlamydia symptoms can vary, and many individuals may not experience any symptoms at all. However, common signs to watch for include: […] Painful urination […] Unusual genital discharge […] Pain or swelling in the genital area […] Lower abdominal pain […] Pain during sexual intercourse […] If you’re experiencing symptoms like these or have had recent exposure to a sexual partner with an STI, prompt diagnostic testing and diagnosis are recommended. Early detection through a rapid chlamydia test can help you receive the necessary treatment and prevent complications.

• #3 About Chlamydia | Chlamydia | CDC

  https://www.cdc.gov/chlamydia/about/index.html

  Yes, the right treatment can cure chlamydia. It is important that you take all of the medicine your healthcare provider gives you to cure your infection. […] The initial damage that chlamydia causes often goes unnoticed. However, chlamydia can lead to serious health problems. […] In women, untreated chlamydia can cause pelvic inflammatory disease (PID). Some of the complications of PID are: Formation of scar tissue that blocks fallopian tubes, Ectopic pregnancy (pregnancy outside the womb), Infertility (not being able to get pregnant), Long-term pelvic/abdominal pain. […] Men rarely have health problems from chlamydia. The infection can cause a fever and pain in the tubes attached to the testicles. This can, in rare cases, lead to infertility.

• #4 Chlamydial Infections – STI Treatment GuidelinesMinusSASstats

  https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

  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. [...] Chlamydia screening programs have been demonstrated to reduce PID rates among women.

• #5 Chlamydia and pregnancy | Pregnancy Birth and Baby

  https://www.pregnancybirthbaby.org.au/chlamydia-and-pregnancy

  If you have chlamydia when you are pregnant, you have an increased risk of your waters breaking prematurely, causing your baby to be born early. […] If you have chlamydia when giving birth, your baby might also become infected this might affect your baby’s health. […] The antibiotics used to treat chlamydia are safe to use in pregnancy. […] If you have chlamydia when you are pregnant, you have an increased risk of your waters breaking prematurely (premature rupture of membranes), causing your baby to be born early. […] If you have chlamydia when giving birth, your baby might also become infected. Complications for your baby may include low birth weight, eye infections and/or pneumonia. […] The antibiotics used to treat chlamydia are safe in pregnancy and are used for many other types of infections.

• #6 Chlamydial and Gonococcal Infections: Screening, Diagnosis, and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0400/p388.html

  The recommended treatment for non-pregnant people is now doxycycline, 100 mg, twice per day for seven days. […] If symptoms do not resolve or a test is persistently positive in a situation in which reinfection seems unlikely, an infectious disease specialist and local health department should be consulted in case of possible antimicrobial resistance. […] Gonococcal and chlamydial infections in pregnancy are associated with increased risks, including preterm birth, premature rupture of membranes, stillbirth, low-birth-weight infants, and neonatal infection. […] Pregnant patients should be screened as outlined in Table 3. […] Anyone diagnosed with a gonococcal or chlamydial infection during pregnancy should have a test of cure approximately four weeks after treatment, at three months after diagnosis, and in their third trimester. […] Neonates are at high risk of contracting an infection if chlamydia is untreated in pregnancy. […] Chlamydial infections of the eye are not prevented by prophylactic erythromycin ointment. […] The recommended treatment is oral erythromycin.

• #7 Harm Reduction Services Branch | Chlamydia

  https://health.hawaii.gov/harmreduction/learn-about-diseases/sexually-transmitted-infections/chlamydia/

  Having a chlamydia infection also makes it more likely to get or spread HIV. […] Most people who have chlamydia have no symptoms, but the infection can still cause irreversible damage to your reproductive system. If you do have symptoms, they may appear one to three weeks after having sex with an infected partner. Symptoms may go away even if left untreated, but it does not mean that the infection has cleared. […] Ask your primary care provider for a test or visit a clinic that offers STI testing. […] Antibiotics cure chlamydia. The CDC currently recommends one dose of an antibiotic pill. Sometimes, a different antibiotic is used and it must be taken twice daily for seven days. It is important to take all the pills you are given even if your symptoms go away to ensure the bacteria is completely gone. […] If you are sexually active, using condoms consistently and correctly for vagina, oral, and anal sex will lower your chances of getting chlamydia.

• #8 Chlamydia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/chlamydia/?srsltid=AfmBOopuGsKPXjLSG_GPwe2uUEkjFXQwmV3iqcD73diOfdRmKtb3RKr6

  Chlamydia Nursing Care Plan […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnosis, interventions, expected outcomes, and education for individuals with chlamydia are listed below. […] Assessment […] Take a history and note the following: […] Fever […] Mucopurulent discharge from eye(s) or red conjunctivae […] Lower abdominal or pelvic pain […] Pain with urination […] Urinary frequency […] Intermenstrual or postcoital bleeding […] Red genitals […] Genital irritation or discomfort […] Unilateral pain and swelling of the scrotum […] Yellow mucopurulent discharge from urethra […] Sexual history […] Perform a physical examination and note the following: […] Adnexal tenderness […] Bilateral purulent conjunctivitis (neonates)

• #9 Chlamydia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/chlamydia/?srsltid=AfmBOopuGsKPXjLSG_GPwe2uUEkjFXQwmV3iqcD73diOfdRmKtb3RKr6

  Cervical motion tenderness […] Dyspareunia […] Dysuria […] Genital erythema […] Groove sign (separation of inguinal and femoral lymph nodes by the inguinal ligament) […] Localized inguinal adenopathy and ulceration […] Lower abdominal or pelvic tenderness […] Lymphogranuloma venereum […] Mucopurulent cervicitis or cervical erosion […] Mucopurulent rectal discharge […] Polyuria […] Pruritus […] Scrotal pain […] Unilateral epididymal tenderness and swelling […] Upper right quadrant abdominal tenderness (Fitz-Hugh and Curtis syndrome) […] Urethritis […] Chlamydia Nursing Diagnosis/Risk For […] Ineffective coping […] Infection […] Pain […] Sexual dysfunction […] Interventions […] Administer antibiotics and pain medication as ordered. […] Advise individuals of need to practice safe sex and to identify former partners that need testing.

• #10 Chlamydia trachomatis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chlamydia/diagnosis-treatment/drc-20355355

  The Centers for Disease Control and Prevention recommends chlamydia testing for anyone with chlamydia symptoms. Regardless of symptoms, talk to your healthcare team to find out how often you should be screened for chlamydia. […] Screening and diagnosis of chlamydia is relatively simple. You may be able to use a test that’s available without a prescription, sometimes called an at-home test, to see if you have chlamydia. If that test shows you have chlamydia, you’ll need to see a healthcare professional to confirm the diagnosis and start treatment. […] Chlamydia trachomatis is treated with antibiotics. You will likely need to take a medicine for seven days, or you may be given a one-time dose of a medicine. […] Your sexual partner or partners from the last 60 days also need screening and treatment even if they don’t have symptoms. Otherwise, the infection can be passed back and forth between sexual partners. Make sure to avoid sexual contact until all exposed partners are treated. […] Three months after treatment, the Centers for Disease Control and Prevention recommends getting tested for chlamydia again. This is to make sure people haven’t been reinfected with the bacteria, which can happen if sex partners aren’t treated, or new sex partners have the bacteria.

• #11 Chlamydia Infections | Chlamydia | Chlamydia Symptoms | MedlinePlus

  https://medlineplus.gov/chlamydiainfections.html

  Chlamydia is a common sexually transmitted infection (STI). It is caused by bacteria called Chlamydia trachomatis. Anyone can get chlamydia. It often doesn’t cause symptoms, so people may not know that they have it. Antibiotics can cure it. But if it’s not treated, chlamydia can cause serious health problems. […] There are lab tests to diagnose chlamydia. Your health care provider may ask you to provide a urine sample. Or your provider may use (or ask you to use) a cotton swab to get a sample from your vagina to test for chlamydia. […] You should go to your provider for a test if you have symptoms of chlamydia or if you have a partner who has an STI. If you are pregnant, you should get a test when you go to your first prenatal visit. […] Antibiotics will cure the infection. You may get a one-time dose of the antibiotics, or you may need to take medicine every day for 7 days. It is important to take all the medicine that your provider prescribed for you. Antibiotics cannot repair any permanent damage that the disease has caused.

• #12 Recommendation: Chlamydia and Gonorrhea: Screening | United States Preventive Services Taskforce

  https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/chlamydia-and-gonorrhea-screening

  Sexually active women, including pregnant persons The USPSTF recommends screening for chlamydia in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection. B […] The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for chlamydia and gonorrhea in men. I […] Clinicians should consider the communities they serve and may want to consult local public health authorities for information about local epidemiology and guidance on determining who is at increased risk. […] Screen for chlamydia and gonorrhea using a NAAT. NAATs can test for infection at urogenital and extragenital sites, including urine, endocervical, vaginal, male urethral, rectal, and pharyngeal. Both chlamydia and gonorrhea can be tested for at the same time with the same specimen.

• #13 Chlamydial Infections – STI Treatment GuidelinesMinusSASstats

  https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

  Among women, the primary focus of chlamydia screening should be to detect and treat chlamydia, prevent complications, and test and treat their partners. […] Treating persons with C. trachomatis prevents adverse reproductive health complications and continued sexual transmission. Furthermore, treating their sex partners can prevent reinfection and infection of other partners. […] Treatment should be provided promptly for all persons with chlamydial infection; treatment delays have been associated with complications (e.g., PID) in a limited proportion of women. […] To minimize disease transmission to sex partners, persons treated for chlamydia should be instructed to abstain from sexual intercourse for 7 days after single-dose therapy or until completion of a 7-day regimen and resolution of symptoms if present.

• #14 Chlamydial and Gonococcal Infections: Screening, Diagnosis, and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0400/p388.html

  Infections caused by Chlamydia trachomatis and Neisseria gonorrhoeae are increasing in the United States. Because most infections are asymptomatic, screening is key to preventing complications such as pelvic inflammatory disease and infertility and decreasing community and vertical neonatal transmission. […] Preferred chlamydia treatment is a seven-day course of doxycycline, 100 mg taken by mouth twice per day. […] All nonpregnant people should be tested for reinfection approximately three months after treatment or at the first visit in the 12 months after treatment. […] Pregnant patients diagnosed with chlamydia or gonorrhea should have a test of cure four weeks after treatment. […] Doxycycline should be used to treat chlamydia in nonpregnant people. […] Nonpregnant people treated for chlamydial or gonococcal infections should be tested for reinfection three months after treatment.

• #15 Chlamydial and Gonococcal Infections: Screening, Diagnosis, and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0400/p388.html

  The recommended treatment for non-pregnant people is now doxycycline, 100 mg, twice per day for seven days. […] If symptoms do not resolve or a test is persistently positive in a situation in which reinfection seems unlikely, an infectious disease specialist and local health department should be consulted in case of possible antimicrobial resistance. […] Gonococcal and chlamydial infections in pregnancy are associated with increased risks, including preterm birth, premature rupture of membranes, stillbirth, low-birth-weight infants, and neonatal infection. […] Pregnant patients should be screened as outlined in Table 3. […] Anyone diagnosed with a gonococcal or chlamydial infection during pregnancy should have a test of cure approximately four weeks after treatment, at three months after diagnosis, and in their third trimester. […] Neonates are at high risk of contracting an infection if chlamydia is untreated in pregnancy. […] Chlamydial infections of the eye are not prevented by prophylactic erythromycin ointment. […] The recommended treatment is oral erythromycin.

• #16 Chlamydia: Causes, Symptoms, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/4023-chlamydia

  Part of your treatment should also include avoiding sexual activities that could cause you to get re-infected and ensuring that any sexual partners who may be infected also get treatment. […] You should never wait for chlamydia to go away on its own. Left untreated, chlamydia can cause serious harm to your health. […] The most common antibiotics used to treat chlamydia infections are: Doxycycline. Usually taken over seven days, is preferred. Azithromycin. Usually taken as a single dose, is recommended as the first choice in pregnancy. […] Yes. Chlamydia can be treated and cured. Some sexually transmitted bacterial infections are starting to become resistant to antibiotics, though, and this makes them harder to treat. […] Untreated chlamydia can put your health at risk. Make an appointment with your provider immediately if you notice any symptoms of chlamydia, and get regular STI screenings to avoid complications later. […] Speak with your healthcare provider about getting regularly screened for chlamydia and other STIs to reduce your risks of complications. Practice safer sex to prevent the spread of chlamydia.

• #17 Treatment of Chlamydia and Gonorrhea in Primary Care and Its Patient-Level Variation: An American Family Cohort Study | Annals of Family Medicine

  https://www.annfammed.org/content/23/2/136

  PURPOSE Chlamydia and gonorrhea are the 2 most common bacterial sexually transmitted infections in the United States. Nonadherence to the Centers for Disease Control and Prevention treatment guidelines remains a concern. We examined how well chlamydia and gonorrhea treatment in primary care settings adhered to guidelines. […] CONCLUSIONS Guideline adherence remains suboptimal for chlamydia and gonorrhea treatment across primary care practices. Efforts are needed to develop interventions to improve quality of care for these sexually transmitted infections. […] Treatment with guideline-recommended antibiotics was uncommon: only 14.0% of chlamydia cases were treated with doxycycline and only 38.7% of gonorrhea cases were treated with ceftriaxone. […] We found that azithromycin was the most frequently prescribed antibiotic for both chlamydia and gonorrhea. This finding confirms that azithromycin remains a widely chosen first-line treatment available to and used by primary care clinicians, despite some studies reporting that it is less efficacious than doxycycline in treating genital and rectal chlamydia infections. […] Greater adherence to CDC guidelines for STI treatment could lead to changes in clinical practices, ultimately improving treatment rate disparities and shortening time to first treatment.

• #18 Chlamydia trachomatis

  https://www.hse.ie/eng/services/list/2/gp/antibiotic-prescribing/conditions-and-treatments/genital/chlamydia-trachomatis/

  Advise no sexual contact until after completion of treatment or, where indicated (see above), after negative test of cure no sooner than 3 weeks after treatment. […] Seek specialist (GUM Clinician / Infectious Diseases / Obstetrics / Microbiology) advice in cases of chlamydia in pregnant or breastfeeding patients. […] Chlamydia is a notifiable disease. Notification process is usually initiated by the testing laboratory. […] Doxycycline is effective in treatment of C. trachomatis infections of urogenital, rectal, and oropharyngeal sites, whereas azithromycin is less efficacious than doxycycline in the treatment of pharyngeal and rectal chlamydia. […] Seek specialist (GUM Clinician / Infectious Diseases / Obstetrics / Microbiology) advice in cases of gonorrhoea in pregnant or breastfeeding patients.

• #19 Chlamydia: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.chlamydia-care-instructions.uh3093

  If your doctor prescribed antibiotics to take at home, take them as directed. Don’t stop taking them just because you feel better. You need to take the full course of antibiotics. […] Don’t have sex with anyone while you are being treated. If your treatment is a single dose of antibiotics, wait at least 7 days after you take the dose before you have sex. Even if you use a condom, you and your partner may pass the infection back and forth. […] Make sure to tell your sex partner or partners that you have chlamydia. They should get treated, even if they don’t have symptoms. […] Get any tests your doctor suggests. Your doctor may do tests for other STIs. And you may be advised to get tested again for chlamydia in several months.

• #20

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3093

  If your doctor prescribed antibiotics to take at home, take them as directed. Don’t stop taking them just because you feel better. You need to take the full course of antibiotics. […] Don’t have sex with anyone while you are being treated. If your treatment is a single dose of antibiotics, wait at least 7 days after you take the dose before you have sex. Even if you use a condom, you and your partner may pass the infection back and forth. […] Make sure to tell your sex partner or partners that you have chlamydia. They should get treated, even if they don’t have symptoms. […] Get any tests your doctor suggests. Your doctor may do tests for other STIs. And you may be advised to get tested again for chlamydia in several months.

• #21 Chlamydia

  https://www.nhs.uk/conditions/chlamydia/

  Chlamydia is treated with antibiotics. If not treated it can cause serious health problems. […] Chlamydia is treated with antibiotics. This may be a single dose, or tablets you take for 7 to 14 days. […] Avoid vaginal, anal or oral sex until you and your partner (if you have one) have finished treatment and tests show you no longer have chlamydia.

• #22 Chlamydia (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568744/

  Michael Mohseni; Sharon Sung; Veronica Takov; Chaddie Doerr. […] Last Update: August 8, 2023. […] List the nursing care management of a patient with chlamydia. […] Educate the patient about chlamydia infections […] Encourage patient to practice safe sex […] Encourage the use of condoms […] Encourage patient to remain compliant with medications […] Check labs for culture results […] Administer antibiotics as ordered […] Check labs to ensure female is not pregnant as doxycycline cannot be given in pregnancy […] Encourage the patient to notify the partner to come in for a screening test […] Encourage patient to follow up in the STD clinic. […] The healthcare team including clinicians, nurses, and pharmacists must work together to educate the patient on methods to avoid exposure and the importance of completing treatment.

• #23 Nursing Care Plan for Chlamydia (STI) | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-chlamydia-sti

  Upon completion of this nursing care plan for Chlamydia, nursing students will be able to: […] The goal is to enhance nursing care for patients with Chlamydia, emphasizing infection control, comprehensive patient education, and emotional support. […] Complete eradication of the infection. […] Prevention of transmission and reinfection. […] Avoidance of complications such as PID or epididymitis. […] Patient understanding of the condition, its treatment, and prevention strategies. […] Assess symptoms and risk factors for Chlamydia. […] Evaluate the patients understanding of transmission, treatment, and prevention. […] Monitor for signs and symptoms of complications. […] Assess psychological and emotional impact of the STI diagnosis. […] Risk for Infection related to sexually transmitted Chlamydia trachomatis.

• #24 Nursing Care Plan for Chlamydia (STI) | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-chlamydia-sti

  Knowledge Deficit related to the prevention, transmission, and treatment of Chlamydia. […] Risk for Infertility related to complications of untreated Chlamydia infection. […] Anxiety related to the impact of the STI on personal and sexual relationships. […] Administering Treatment: Ensure the administration of prescribed antibiotics. […] Education on Safe Sexual Practices: Counsel on condom use and safe sex practices. […] Contact Tracing: Encourage the patient to notify sexual partners and facilitate partner testing and treatment. […] Emotional Support: Provide counseling and support, addressing fears related to fertility and relationships. […] Follow-Up and Screening: Arrange for follow-up testing to confirm the infection is cleared and screen for other STIs. […] Confirm the resolution of symptoms and adherence to the treatment regimen. […] Assess the patients understanding and practice of preventive measures. […] Evaluate the effectiveness of counseling and emotional support. […] Ensure follow-up testing is completed.

• #25 Chlamydia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/chlamydia/?srsltid=AfmBOopuGsKPXjLSG_GPwe2uUEkjFXQwmV3iqcD73diOfdRmKtb3RKr6

  Expected Outcomes […] Pain relief […] Remain free of infection […] Sexual changes related to diagnosis […] Individual/Caregiver Education […] Confirm individual understands diagnosis and treatment plan […] Ensure individual can identify signs and symptoms of infection, including: […] Discharge […] Fever […] Pain […] Tenderness […] Emphasize importance of finishing all antibiotics and knowing potential side effects […] Confirm individual understands the possible long-term risks and complications of chlamydia, including the possibility of infertility […] Emphasize importance of washing hands frequently […] Ensure individual understands need to practice safe sex through: […] Limiting sexual partners […] Having new partners tested before intercourse […] Using proper STD protection through the barrier method

• #26 Chlamydia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/chlamydia/?srsltid=AfmBOopuGsKPXjLSG_GPwe2uUEkjFXQwmV3iqcD73diOfdRmKtb3RKr6

  Provide an opportunity to discuss how to relieve the pain through relaxation techniques such as: […] Visualization […] Guidance […] Imagination […] Deep breathing exercises. […] Yoga […] Provide discharge instructions, including: […] Referring all sexual contacts for testing and treatment […] Avoiding sexual activity until treatment is completed for individual and partner […] Following up with private physician for treatment and test of cure […] Returning for treatment if symptoms persist for more than one week despite treatment, or if unusual vaginal bleeding or swelling or unexplained symptoms occur

• #27 Chlamydia | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/chlamydia

  If you have chlamydia, anyone you have had sex with from the last 6 months needs to be informed, tested and treated. […] Your local GP and sexual health centre can help you inform your partners and let them know that they need a test. […] This process is called partner notification. […] Safer sex practices reduce the risk of STI transmission. […] Ways to reduce your risk of catching chlamydia include: Practise safe sex use condoms and water-based lubricant (lube) for all types of sex. […] If you are sexually active, get a full sexual health check (including tests for syphilis, HIV, gonorrhoea and chlamydia) at least once a year.

• #28 Chlamydia – Women’s Health Guide – Public Health

  https://www.publichealth.va.gov/infectiondontpassiton/womens-health-guide/stds/chlamydia.asp

  Chlamydia can be treated and cured with antibiotics. Always finish antibiotic treatment, even if signs of chlamydia go away. Do not have sex until after treatment and signs of it are gone. See your health care provider if your signs do not go away after finishing treatment. […] Problems getting pregnant, Pregnancy outside of the uterus, Swelling in the anus, Eye and joint redness and pain, More likely to get HIV from a partner who is infected with HIV. […] Always finish all antibiotic treatment. Do not have sex with someone who has chlamydia or has not finished treatment (to prevent re-infection). Tell current and recent sex partners of the infection so they can get checked. Know that it can raise the risk of getting and spreading HIV. […] Avoid sexual contact. Have safer sex: Reduce the number of sexual partners. Condoms, when used correctly, can reduce the risk of getting chlamydia. Each time you have sex use a condom (male or female type): Before vaginal sex, Before anal sex, Before oral sex. Have sex with only one partner who does not have sex with others and does not have chlamydia. Know that other forms of birth control do not protect against chlamydia.

• #29 Chlamydia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK537286/

  Chlamydia trachomatis is responsible for the greatest number of sexually transmitted infections and the majority of infection-related of blindness worldwide. This activity reviews the evaluation and management of Chlamydia trachomatis infections and highlights the role of the interprofessional team in the care of affected patients. […] Explain the importance of enhancing care coordination amongst the interprofessional team to improve outcomes for patients with chlamydia trachomatis infections. […] The goal of treatment is the prevention of complications associated with infection (e.g., PID, infertility), to decrease the risk of transmission, and the resolution of symptoms. Treatment for uncomplicated urogenital chlamydia infection is with azithromycin. […] Patients should have partners identified and tested. They should also be counseled on high-risk behaviors, avoid sexual activity for one week after initiating therapy, and should consider testing for HIV. […] The healthcare team, including clinicians, nurses, and pharmacists, must work together to educate the patient on methods to avoid exposure and the importance of completing treatment. This approach will result in decreased incidence and improve outcomes.

• #30 Management of chlamydia and gonorrhoea infections diagnosed in primary care using a centralised nurse-led telephone-based service: mixed methods evaluation | BMC Primary Care | Full Text

  https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-020-01329-0

  Up to 18% of genital Chlamydia infections and 9% of Gonorrhoea infections in England are diagnosed in Primary Care. Evidence suggests that a substantial proportion of these cases are not managed appropriately in line with national guidelines. […] We investigated feasibility and acceptability of extending the National Chlamydia Screening Programmes centralised, nurse-led, telephone management (NLTM) as an option for management of all cases of chlamydia and gonorrhoea diagnosed in Primary Care. […] Extension of this established NLTM intervention to a greater proportion of patients was both feasible and acceptable to both patients and HCP, could provide a better service for patients, whilst decreasing primacy care workload. The study provides evidence to support the wider implementation of this NLTM approach to managing chlamydia and gonorrhoea diagnosed in primary care.

• #31 Management of chlamydia and gonorrhoea infections diagnosed in primary care using a centralised nurse-led telephone-based service: mixed methods evaluation | BMC Primary Care | Full Text

  https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-020-01329-0

  Patients found the NLTM acceptable, more convenient and provided greater anonymity than usual care. […] Patients appreciated getting a text message regarding a negative result and valued talking to a sexual health specialist about positive results. […] HCPs were positive about the NLTM, welcomed the partner notification service, though requested more timely feedback on the management of their patients. […] Most HCP did not find explaining the NLTM to patients negatively impacted on consultations. HCPs reported that the vast majority of their patients were happy with NLTM and did not raise any questions or concerns. […] Patients valued consulting primary care for STIs. […] Patients valued being contacted by a sexual health specialist via the NLTM over a GP, who may have less knowledge of STIs.

• #32 Chlamydia – Women’s Health Guide – Public Health

  https://www.publichealth.va.gov/infectiondontpassiton/womens-health-guide/stds/chlamydia.asp

  All pregnant women should be tested for chlamydia. If you are pregnant and have chlamydia, you should discuss your pregnancy and infection with your health care provider. Pregnant women with chlamydia can have early births or babies with eye and lung infections. Pregnant women with chlamydia can pass it to their babies during childbirth.

• #33 Chlamydia (Chlamydial Genitourinary Infections) Treatment & Management: Approach Considerations, Antibiotic Therapy, Prevention

  https://emedicine.medscape.com/article/214823-treatment

  The keys to management of chlamydial infections are (1) arriving at the correct diagnosis and (2) ensuring that the patient complies with treatment. […] Undiagnosed chlamydia can progress to pelvic inflammatory disease (PID), which may lead to relative or absolute infertility. […] Adolescents are at high risk for noncompliance with treatment, especially if a patient is attempting to keep information away from parents. Single-dose, in-office treatment increasingly is used to improve compliance and confidentiality. Partner treatment is crucial for prevention of reinfection. […] Many clinicians err on the side of caution and hospitalize patients whenever PID is a concern or compliance with therapy is problematic. Consider PID an absolute indication for admission because of the potential for infertility and the poor compliance of many adolescents with prolonged treatment regimens.

• #34 Chlamydia (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/std-chlamydia.html

  Chlamydia spreads through sex (vaginal, oral, or anal) with someone who has the infection. […] Health care providers treat chlamydia with antibiotics. It is important to get tested again 3 months after treatment to make sure the infection is cured, even if a person has no symptoms. […] For the infection to go away, someone needs to: Take the antibiotics exactly as prescribed. They should not stop taking the medicine early because the infection could come back. […] Anyone who is sexually active should get tested for STDs every year (or more often if recommended by their health care provider).

• #35 Chlamydia: Symptoms, Treatments, Causes, and More

  https://www.healthline.com/health/std/chlamydia

  Some women develop PID, an infection that can damage the uterus, cervix, and ovaries. PID is a painful disease that often requires hospital treatment. […] Infertility is also possible if chlamydia is left untreated because the fallopian tubes may become scarred. […] Men can also experience complications when chlamydia is left untreated. The epididymis the tube that holds the testicles in place may become inflamed, causing pain. […] These are just some of the most common complications of untreated chlamydia, which is why its important to get medical attention right away. Most people who get treatment quickly have no long-term medical problems.

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