Chlamydial infection, like gonorrhea, is related to an increased prevalence of premature births. Moreover, the fetus can get the infection during passage through the infected birth canal, resulting in serious eye damage or pneumonia For this reason, all newborns are treated with eye drops containing an antibiotic that kills chlamydia. Std test closest to Wallace California. Treatment of all newborns is routine because of the many infected women without symptoms and also the serious consequences of chlamydial eye infection to the newborn
Treatment of chlamydia involves antibiotics. A suitable single-dose therapy for chlamydia is 1 gm of azithromycin ( Zithromax , Zmax ) by mouth. Alternative treatments can be used, however, because of the steep price of the drug. The most frequent alternative 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 currently used antibiotics. There are many other antibiotics that also have been successful 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 confirm success of the treatment is important.
Diagnosis of chlamydia relies upon a lab evaluation to demonstrate the organism is present, either through identification or culture of the genetic material of the bacteria. Culture is an older and more time consuming approach of identifying the bacteria and is no longer routinely used. For routine diagnostic purposes, high-speed tests that identify the bacterial genetic material are widely used. All these are referred to as nucleic acid amplification tests, or NAATs. The specimen for NAATs may be gotten in the time of gynecologic assessment by swabbing the cervix, but diagnostic tests could be run on self-collected or urine samples vaginal swabs.
Girls whose male partner is uncircumcised have been found to show 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-nation study circumcision reduced the danger 82%. Data were indistinguishable for women who had only had one sexual partner. The study involved 305 couples in 5 states from different parts of the world. A prospective study of 5,925 women in Uganda, Zimbabwe and Thailand found no significant difference, however, in danger of Chlamydia or gonorrhoea Turner et al., 2008.
Most instances are in the teen to 24 year old age group, and are 2.5 times higher in females than males Weaver, 2007. The rise coincides with a rise in the proportion of uncircumcised males in this active age group. Chlamydia trachomatis is liable for pelvic inflammatory disease that causes ectopic pregnancy, infertility and pelvic pain. It is also a cofactor in HPV-induced HIV transmission cervical cancer and, in both sexes. In men, just as in women, it can cause infertility, together with prostatitis and urethral blockage.
Std test near Wallace, CA. Men and women can get the disease, but women are more inclined to be diagnosed Mathematically, you are more inclined to get an STI if 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 disease , but old age isn't a protection. The Centers for Disease Control and Prevention recommends that all sexually active women age 25 and younger get screened for chlamydia every year, along with older women with risk factors like new or multiple partners.
Men and women can get the infection, but women are more inclined to be diagnosed Mathematically, you're more likely to get an STI in case you have sex with more than one individual Infection rates are highest among y ounger women partly because their immature cervical cells are vulnerable to illness , but older age isn't a protection. Std test nearby CA, 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, along with elderly women with risk factors like new or multiple partners.
The good news is that chlamydia is easily treated by antibiotics The bad news is that 50% of women who get the disorder don't 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 the uterus). Untreated chlamydia in pregnancy may result in premature birth.
Std test closest to Wallace CA 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 occur. 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 infection 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 cause of blindness in the developing world 4
Chlamydia may 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 may also be spread by personal contact, flies, and dirty towels in areas with bad sanitation 4 Chlamydia trachomatis just appears in individuals. 5 Diagnosis is usually by screening that is advocated 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 could be achieved on the urine or a swab of the cervix, vagina, or urethra 3 Rectal or mouth swabs are required to diagnose infections in those places. Std test closest to Wallace, CA. 3
Prevention is by not having sex, the use of condoms, or having sex with only one other person, who is not infected. 2 Chlamydia may be cured by antibiotics with typically either azithromycin or doxycycline used. During pregnancy Sexual partners must even be treated and erythromycin or azithromycin is advocated in infants and the people that were infected advised not to have sex for seven days and until symptom free. Gonorrhea , syphilis , and HIV ought to be analyzed for in people who have been infected. Following treatment folks ought to be analyzed after three months. 3
Chlamydial disease of the cervix (neck of the uterus) is a sexually transmitted infection which has no symptoms for 50-70% of women infected. The infection can be passed through anal, vaginal, or oral sex. Of those who have an asymptomatic illness that isn't found by their physician, about half will develop pelvic inflammatory disease (PID), a generic term for infection of the uterus , fallopian tubes , and/or ovaries PID can cause scarring within the reproductive organs , which may later cause serious complications, including chronic pelvic pain, difficulty becoming pregnant , ectopic (tubal) pregnancy , and other dangerous complications of pregnancy.
In guys, people that have a chlamydial infection show symptoms of infectious inflammation of the urethra in about 50% of cases. 11 Symptoms that could occur include: a a burning or painful sensation when urinating, an unusual discharge from the penis, testicular pain or swelling, or fever. If left untreated, chlamydia in men can spread to the testicles causing epididymitis , which in rare cases can result in sterility if not treated. Even though the exact relevance in prostatitis is difficult to determine due to potential contamination from urethritis, 11 Chlamydia is also a potential cause of prostatic inflammation in men. Wallace Std Test. 15
Chlamydia conjunctivitis or trachoma was once the most important source of blindness worldwide, but its role declined from 15% of blindness cases by trachoma in 1995 to 3.6% in 2002. 16 17 The infection could be spread from eye to eye by fingers, cloths or shared towels, coughing and sneezing and eye-seeking flies. 18 Newborns may also develop chlamydia eye infection through childbirth (see below). Using the SAFE strategy ( acronym for operation for ingrowing or in-turned lashes, antibiotics , facial cleanliness, and environmental improvements), the World Health Organization aims for the global elimination of trachoma by 2020 (GET 2020 initiative). 19 20
The diagnosis of genital chlamydial diseases evolved quickly from the 1990s through 2006. Nucleic acid amplification tests (NAAT), including polymerase chain reaction (PCR), transcription mediated amplification (TMA), and the DNA strand displacement amplification (SDA) now are the mainstays. NAAT for chlamydia might be performed on swab samples 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 a specificity of about 99%, no matter sampling from a cervical swab or by urine specimen. 27 In women seeking an STI practice and a urine test is negative , a subsequent cervical swab has been estimated to be positive in approximately 2% of the time. 27
Due to improved test accuracy, ease of screening sexually active men as well as women, and ease of specimen management, convenience in specimen management, culture has been mostly replaced by the NAATs, the historical gold standard for chlamydia identification, and the non-amplified probe evaluations. The latter test is relatively insensitive, successfully discovering just 60-80% of diseases in asymptomatic women, and frequently giving effects that are falsely positive. Heritage remains useful in selected conditions and is currently the only assay qualified for testing non-genital specimens. Other strategy additionally exist including: ligase chain reaction (LCR), direct fluorescent antibody resting, enzyme immunoassay, and cell culture. 28
For sexually active women who are not pregnant, screening is advised 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 advocates screening women under 25) and the American Academy of Family Physicians (which recommends screening women aged 25 or younger). Wallace CA 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 admits that in some communities there might be other risk factors for infection, like ethnicity. 12 Evidence-based recommendations for screening initiation, termination and intervals 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 advocate regular screening of men who are at increased risk for syphilis or HIV infection. 13
"What's nice about this study is that since we have focused on asymptomatic infections in women during the past several years, looking at the role of asymptomatic infections in men is a helpful addition to our epidemiological data," says Carolyn Deal, PhD, chief of the Sexually Transmitted Diseases Division of the National Institute of Allergy and Infectious Diseases. "Nonetheless, this was a select group, and you also should be cautious about translating information from one group to another for many different 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. Wallace United States Std Test. Carolyn Deal, PhD, leader, Sexually Transmitted Diseases Branch, National Institute of Allergy and Infectious Diseases, Bethesda, Md.
Nearly half of all women who get chlamydia and are not treated by a doctor will get pelvic inflammatory disease (PID), a common 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 near Wallace California. Chlamydia causes 250,000 to 500,000 cases of PID every year in the U.S.
When chlamydia symptoms do appear, they typically present themselves 1-3 weeks after exposure to the bacteria. For women, symptoms may include an unusual vaginal discharge or a burning or painful sensation during urination. In the event the disease spreads, women can experience stomach 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 men as well as women, symptoms of rectal infection may include rectal pain or bleeding.
Chlamydia could be treated and cured with antibiotics. People infected with chlamydia should abstain from sex for 7 days in order to enable the antibiotics to prevent spreading the bacteria to others and to work. Likewise, your partner should be medicated to prevent you getting re-infected. A re-infection of chlamydia is common, particularly when a person's sexual partners have not been properly handled. Our doctors advise that your partner as well as you get re-tested for chlamydia about 21 to 28 days after treatment. This helps ensure the well-being of both parties and helps mitigate any possible longterm health complications from the chlamydia bacterium.
A chlamydia infection can have major health consequences, if left untreated. Std Test in Wallace. Untreated illnesses in women may lead to chronic pelvic pain and prenatal problems. Chlamydia infections that are perennial may result in serious reproductive issues, including complications during pregnancy and infertility. Moreover, women exposed to chlamydia are at a higher risk for getting HIV. For guys, an untreated case of chlamydia can spread to different portions of the penis, prostate and testicles and cause pain as well as inflammation. If not correctly treated, chlamydia may also result in male sterility.
Chlamydia pneumoniae is a common species of bacteria of the Chlamydia genus. About 50 percent of Americans aged 20 and older have experienced a Chlamydia pneumoniae disease, and reinfection later in life appears common, notes the Centers for Disease Control and Prevention. Most cases of Chlamydia pneumoniae infection cause no symptoms, or cause mild symptoms not recognized as an illness. In some cases the infection can cause a respiratory illness, sometimes with characteristic clinical indications and symptoms.
Cough symptoms, sometimes over a protracted period, may indicate a case of pneumonia or bronchitis as a result of Chlamydia pneumoniae infection. Those illnesses represent the most often established disorders connected with Chlamydia pneumoniae, notes Dr. Std Test near me Wallace. Cho-Chou Kuo, in a 1995 review article in "Clinical Microbiology Review." The cough may be accompanied by temperature symptoms. The symptoms may have a subacute onset, meaning they begin pretty rapidly, but not abruptly. Dr. Chou notes that frequently, by the time a patient sees a doctor, the temperature symptoms may have already solved. The sicknesses associated with Chlamydia pneumoniae infections are often mild, and people tend to wait longer before seeing a physician following the start of symptoms than they do with other acute respiratory infections.
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