Chlamydial disease, like gonorrhea, is associated with an elevated incidence of premature births. Moreover, the fetus can acquire the infection during passage through the infected birth canal, leading to serious eye damage or pneumonia For this reason, all newborns are treated with eye drops containing an antibiotic that kills chlamydia. Std test in Cold Bay, Alaska. Treatment of all newborns is routine due to the large number of infected women without symptoms and also the serious consequences of chlamydial eye infection to the newborn
Treatment of chlamydia involves antibiotics. A convenient single-dose treatment for chlamydia is 1 gm of azithromycin ( Zithromax , Zmax ) by mouth. Alternative treatments can be used, however, because of the high price of the drug. The most typical alternate treatment is a 100 mg oral dose of doxycycline ( Vibramycin , Oracea , Adoxa , Atridox and others) twice per day for seven days. Unlike gonorrhea, there has been little, if any, resistance of chlamydia to antibiotics that are currently used. There are a number of other antibiotics that also have been effective against chlamydia. As with gonorrhea, a condom or other protective barrier prevents the spread of the disease. Sexual partners also require treatment. Follow-up testing to verify success of the treatment is essential.
Investigation of chlamydia relies upon a laboratory evaluation to demonstrate the organism is present, either through culture or identification of the genetic material of the bacteria. Culture is an older and more time-consuming method of identifying the bacteria and is regularly used. For routine diagnostic functions, accelerated tests that identify the bacterial genetic material are popular. All these are referred to as nucleic acid amplification tests, or NAATs. The specimen for NAATs could be gotten in the time of gynecologic evaluation by swabbing the cervix, but diagnostic tests may be run on self-collected or urine samples vaginal swabs.
Girls whose male partner is uncircumcised have been found to display a 5.6-fold increased risk of infection with Chlamydia trachomatis than women whose partner was circumcised Castellsague et al., 2005. So in this big multi-state study circumcision reduced the risk 82%. Info were identical for women who had only ever had one sexual partner. The study involved 305 couples from various elements of the world in 5 countries. A prospective study of 5,925 women in Uganda, Zimbabwe and Thailand found no significant difference, however, in risk of Chlamydia or gonorrhoea Turner et al., 2008.
Most instances are in the adolescent to 24 year old age group, and are 2.5 times higher in females than men Weaver, 2007. The rise coincides with a rise in the proportion of uncircumcised men in this active age group. Chlamydia trachomatis is liable for pelvic inflammatory disease that causes pelvic pain, ectopic pregnancy and infertility. It's also a cofactor in HPV-induced HIV transmission, cervical cancer and, in both sexes. In guys, just as in women, it can cause infertility, together with prostatitis and urethral blockage.
Std Test closest to Cold Bay AK. Men as well as women can get the infection, but women are more prone to be diagnosed Statistically, you are prone to get an STI in the event you have sex with more than one man Infection rates are highest among y ounger women partly because their immature cervical cells are exposed to illness , but old age is not a protection. The Centers for Disease Control and Prevention recommends that all sexually active women age 25 and younger get screened for chlamydia each year, together with elderly women with risk factors like multiple or new partners.
Men and women can get the disease, but women are more inclined to be diagnosed Mathematically, you are more likely to get an STI in case you have sex with greater than one person Infection rates are highest among y ounger women partly because their immature cervical cells are exposed to illness , but older age isn't a protection. Std test closest to AK United States. The Centers for Disease Control and Prevention recommends that all sexually active women age 25 and younger get screened for chlamydia each year, in addition to older women with risk factors like multiple or new partners.
The good news is the fact that chlamydia is readily cured by antibiotics The bad news is that 50% of women who get the disease do not know they're infected and 30% develop serious complications such as damage to the fallopian tubes (the tubes that connect the ovaries to the uterus) caused by pelvic inflammatory disease , which may result in sterility. Damage to the fallopian tubes may also increase the risk of ectopic pregnancy (when the fertilized egg implants outside of the uterus). Untreated chlamydia in pregnancy may result in premature birth.
Std Test closest to Cold Bay, AK, United States. Chlamydia infection, often simply known as chlamydia, is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis 1 Most people who are infected have no symptoms. When symptoms do develop this could take several weeks following infection to happen. Symptoms in women may include vaginal discharge or burning with urination Symptoms in men may include discharge from the penis, burning with urination, or pain and swelling of one or both testicles 2 The illness can spread to the top genital tract in women causing pelvic inflammatory disease that might result in future infertility or ectopic pregnancy 3 Continued infections of the eyes that go without treatment can lead to trachoma , a standard source of blindness in the developing world 4
Chlamydia can be spread during vaginal , anal , or oral sex , and could be passed from an infected mother to her baby during childbirth 2 The eye infections are often spread by personal contact, flies, and dirty towels in regions with poor sterilization 4 Chlamydia trachomatis only occurs in people. 5 Analysis is often by screening which is recommended annually in sexually active women under the age of twenty five, others at higher risk, and at the very first prenatal visit 2 3 Testing may be achieved on the urine or a swab of the cervix, vagina, or urethra 3 Rectal or mouth swabs have to diagnose infections in those regions. Std test near Cold Bay AK. 3
Prevention is by not having the use of condoms, sex, or having sex with only one other individual, who is not infected. 2 Chlamydia could be cured by antibiotics with usually either azithromycin or doxycycline being used. Erythromycin or azithromycin is urged in babies and during pregnancy Sexual partners should also be treated and the individuals that were infected advised not to have sex for seven days and until symptom free. Gonorrhea , syphilis , and HIV ought to be examined for in those people who have been infected. Following treatment individuals should be analyzed after three months. 3
Chlamydial infection of the cervix (neck of the womb) is a sexually transmitted infection which has no symptoms for 50-70% of women infected. The infection could be passed through anal, vaginal, or oral sex. Of people that have an asymptomatic infection that's not discovered by their doctor, about half will develop pelvic inflammatory disease (PID), a common term for infection of the uterus , fallopian tubes , or ovaries PID can cause scarring within the reproductive organs , which can later cause serious complications, including chronic pelvic pain, difficulty becoming pregnant , ectopic (tubal) pregnancy , and other dangerous complications of pregnancy.
In men, people that have a chlamydial infection reveal symptoms of contagious inflammation of the urethra in about 50% of cases. 11 Symptoms that may occur include: a painful or burning sensation when urinating, an unusual discharge from the penis, testicular swelling or pain, or temperature. If left untreated, chlamydia in men can spread to the testicles causing epididymitis , which in rare instances can result in sterility or maybe even treated. Even though the exact relevance in prostatitis is difficult to determine due to possible pollution from urethritis 11 Chlamydia is also a possible cause of prostatic inflammation in men. Cold Bay std test. 15
Chlamydia conjunctivitis or trachoma was once the main cause of blindness world-wide, but its role declined from 15% of blindness cases by trachoma in 1995 to 3.6% in 2002. 16 17 The infection can be spread from eye to eye by fingers, shared towels or fabrics, sneezing and coughing and eye-seeking flies. 18 Newborns may also grow chlamydia eye infection through childbirth (see below). Using the SAFE strategy ( acronym for surgery for in-growing or in-turned lashes, antibiotics , facial cleanliness, and environmental progress), the World Health Organization aims for the global elimination of trachoma by 2020 (GET 2020 initiative). 19 20
The diagnosis of genital chlamydial infections evolved quickly from the 1990s through 2006. Nucleic acid amplification tests (NAAT), for example polymerase chain reaction (PCR), transcription mediated amplification (TMA), as well as the DNA strand displacement amplification (SDA) now are the mainstays. NAAT for chlamydia might be performed on swab specimens sampled from the cervix (women) or urethra (guys), on self-collected vaginal swabs, or on voided urine. 26 NAAT has been estimated to really have a sensitivity of approximately 90% and also a specificity of approximately 99%, irrespective of sampling from a cervical swab or by urine specimen. 27 In women seeking an STI practice and a urine test is negative , a following cervical swab was estimated to be positive in approximately 2% of the time. 27
As a result of improved evaluation correctness, ease of screening women as well as sexually active men, and ease of specimen management, convenience in specimen direction, culture has been mostly replaced by the NAATs, the historical gold standard for chlamydia diagnosis, and also the non-amplified probe evaluations. The latter test is relatively insensitive, successfully detecting just 60-80% of diseases in asymptomatic women, and often giving effects that are falsely positive. Culture remains useful in selected circumstances and is currently the sole assay qualified for testing non-genital specimens. Other approach additionally exist including: ligase chain reaction (LCR), direct fluorescent antibody resting, enzyme immunoassay, and cell culture. 28
For sexually active women who aren't pregnant, screening is recommended in others at risk of infection and those under 25. 12 Risk factors include a history of new or multiple sexual partners, chlamydial or other sexually transmitted infection, and inconsistent condom use. 13 For pregnant women, guidelines change: screening women with age or alternative risk factors is advocated by the U.S. Preventive Services Task Force (USPSTF) (which recommends screening women under 25) and the American Academy of Family Physicians (which advocates screening women aged 25 or younger). Cold Bay, AK, United States std test. While the Centers for Disease Control and Prevention recommend universal screening of pregnant women the American College of Obstetricians and Gynecologists recommends screening all at risk. 12 The USPSTF acknowledges that in some communities there could be other risk factors for disease, including ethnicity. 12 Evidence-based recommendations for screening initiation, intervals and conclusion are presently not possible. 12 For guys, the USPSTF concludes evidence is now insufficient to determine if routine screening of men for chlamydia is beneficial. 13 They recommend regular screening of men that are at increased risk for HIV or syphilis infection. 13
"What's nice about this study is that since we have focused on asymptomatic diseases in women during the last several years, looking at the role of asymptomatic diseases in men is a helpful improvement to our epidemiological data," says Carolyn Deal, PhD, leader of the Sexually Transmitted Diseases Branch of the National Institute of Allergy and Infectious Diseases. "Nonetheless, this was a select group, and you should always be cautious about translating information from one group to another for a number of reasons."
SOURCES: The Lancet, May 24, 2003. Department of Sexually Transmitted Disease, CDC, Atlanta. U.S. Preventive Services Task Force recommendation, April 17, 2001. Gordon Scott, FRCP, consultant in genitourinary medicine, Edinburgh Royal Infirmary, Edinburgh, Scotland. Martin Resnick, MD, president, American Urological Association, Baltimore; chairman, department of urology, Case Western Reserve School of Medicine, Cleveland. Cold Bay United States std test. Carolyn Deal, PhD, chief, Sexually Transmitted Diseases Division, National Institute of Allergy and Infectious Diseases, Bethesda, Md.
Almost half of all women who get chlamydia and are not treated by a physician will get pelvic inflammatory disease (PID), a generic term for infection of the uterus, fallopian tubes, and/or ovaries. PID can cause scarring in the reproductive organs, which can later cause serious complications, including chronic pelvic pain, difficulty becoming pregnant, ectopic (tubal) pregnancy, and other dangerous complications of pregnancy. Std test closest to Cold Bay, Alaska. Chlamydia causes 250,000 to 500,000 cases of PID every year in the U.S.
When chlamydia symptoms do appear, they generally present themselves 1-3 weeks after exposure to the bacteria. For women, symptoms may contain a burning or painful sensation or an unusual vaginal discharge during urination. In the event the disease spreads, women can experience abdominal and pelvic pain, fever, nausea, bleeding between periods and pain during sex. For men, symptoms may include a painful burning sensation during urination, or unusual discharge from the penis. For both men and women, symptoms of rectal disease may include rectal pain or bleeding.
Chlamydia can be treated and cured with antibiotics. Individuals infected with chlamydia should abstain from sex for 7 days as a way to allow the antibiotics to work and to prevent spreading the bacteria to others. Similarly, your partner should be medicated to avoid you getting re-contaminated. A re-infection of chlamydia is common, especially when a person's sexual partners haven't been correctly handled. Our physicians advise that your partner along with you get re-tested for chlamydia approximately 21 to 28 days after treatment. This helps ensure the health of both parties and helps mitigate any potential longterm health complications from the chlamydia bacterium.
A chlamydia infection can have major health consequences if left untreated. Std Test nearest Cold Bay. Untreated illnesses in women may lead to prenatal issues and chronic pelvic pain. Repeated chlamydia diseases may result in serious reproductive issues, including complications during pregnancy and infertility. Furthermore, women exposed to chlamydia are at a higher risk for getting HIV. For men, an untreated case of chlamydia can spread to other portions of the penis, prostate and testicles and cause inflammation as well as pain. If not correctly treated, chlamydia can also result in male sterility.
Chlamydia pneumoniae is a common species of bacteria of the Chlamydia genus. A Chlamydia pneumoniae disease has been experienced by about 50 percent of Americans aged 20 and older, and reinfection after in life appears common, notes the Centers for Disease Control and Prevention. Most instances of Chlamydia pneumoniae infection cause mild symptoms not recognized as an illness, or cause no symptoms. In certain instances the infection can cause a respiratory illness, occasionally with symptoms and characteristic clinical manifestations.
Cough symptoms, sometimes over a protracted period, may signal a case of pneumonia or bronchitis due to a Chlamydia pneumoniae infection. Those illnesses make up the most frequently recognized diseases associated with Chlamydia pneumoniae, notes Dr. Std Test closest to Cold Bay. Cho-Chou Kuo, in a 1995 review article in "Clinical Microbiology Review." Temperature symptoms may accompany the cough. The symptoms may have a sub-acute beginning, meaning they begin fairly rapidly, but not unexpectedly. Dr. Chou notes that regularly, by the time a patient sees a doctor, the temperature symptoms may have already worked out. The sicknesses associated with Chlamydia pneumoniae infections are frequently light, and people have a tendency to wait longer than they do with other acute respiratory infections, before seeing a doctor following the start of symptoms.
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