Overview
Chlamydial infection is the most common bacterial STI, with women under 25 years.
Symptoms
- Infection with C. trachomatis is often asymptomatic.
- Mucopurulent discharge
Testing Indications
Testing is also indicated in women with risk factors:
- New partner.
- Altered vaginal discharge
- Intermenstrual bleeding
- Postcoital bleeding
- Abdominal pain.
On Examination
Cervicitis.
Neonates born to mothers with cervical infection may develop conjunctivitis.
A reactive arthritis that is typically (monoarticular) in men.
NAAT tests are widely available for C.
Treatment
Treatment: Regimens include azithromycin or doxycycline; the benefit of the former is that it is a single dose and well-tolerated.