Uncomplicated Genital Chlamydia in men and women
Please refer to Sexual Health Briefing Note on changes to Sexual Health Guidelines (intranet link only)
Opportunistically test all aged 15-25 years.
Refer to Sexual Health Service for partner notification and advice.
In pregnancy or breastfeeding: azithromycin is the most effective option but is ‘off-label’ (recommended by SIGN). Doxycycline is contra-indicated in pregnancy.
Due to lower cure rate in pregnancy, test for cure 6 weeks after treatment.
Advise to avoid sexual contact until treatment complete (or 7 days after azithromycin).
Consider testing for HIV.