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.