Chlamydia Trachomatis

Chlamydia trachomatis

BASHH

PHE, CKS

Opportunistically test those aged 15-25 years who are at risk.

Patients with symptoms, i.e. pelvic pain in women, scrotal pain or urethral discharge in men, urgently refer using the helpline number above or to the relevant service e.g urology / ED / gynaecology. Treat partners

 

Pregnancy or breastfeeding: azithromycin is the most effective option. (Tetracycline contra-indicated)

Due to lower cure rate in pregnancy, test for cure 4 weeks after treatment.

Rectal Chlamydia – LGV infection should be considered – discuss with sexual health

Test of cure is important in rectal Chlamydia

First Line:

Doxycyline

 

100mg BD

7 days

 

Second Line:

Azithromycin

1G

stat

Followed by 500mg OD for 2 days

Pregnant or breastfeeding:

azithromycin

1g (off-label use)

Stat

Followed by 500mg od for 2 days

or erythromycin

500mg QDS

7 days

or amoxicillin

500mg TDS

7 days

doxycyline

(for rectal Chlamydia)

100mg BD

7 days if LGV excluded

21 days otherwise