Chlamydial disease, like gonorrhea, is related to an increased incidence of premature births. Furthermore, the fetus can acquire the infection during passage through the infected birth canal, resulting in serious eye damage or pneumonia For this particular reason, all newborns are treated with eye drops containing an antibiotic that kills chlamydia. Std Test nearby Vernon, Colorado. Treatment of all newborns is routine due to the many infected women without symptoms and the serious consequences of chlamydial eye infection to the newborn
Treatment of chlamydia includes antibiotics. A convenient single-dose therapy for chlamydia is 1 gm of azithromycin ( Zithromax , Zmax ) by mouth. Alternative treatments can also be used, however, due to the steep cost of the medication. The most frequent 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's been little, if any, resistance of chlamydia to currently used antibiotics. There are a number of other antibiotics that also have been effective against chlamydia. As with gonorrhea, a condom or another protective barrier prevents the spread of the infection. Sexual partners also need treatment. Follow up testing to confirm success of the treatment is very important.
Identification of chlamydia relies upon a lab evaluation to attest that the organism is present, either through culture or identification of the genetic material of the bacteria. Culture is an older and more time consuming approach of identifying the bacteria and is routinely used. For routine diagnostic purposes, rapid evaluations that identify the bacterial genetic material are commonly used. All these are referred to as nucleic acid amplification tests, or NAATs. The specimen for NAATs may be got at the time of gynecologic examination by swabbing the cervix, but diagnostic tests could be run on urine samples or self-collected vaginal swabs.
Women whose male partner is uncircumcised have been found to exhibit a 5.6-fold increased risk of infection with Chlamydia trachomatis than women whose partner was circumcised Castellsague et al., 2005. Therefore in this large multi-country study circumcision reduced the risk 82%. Info were identical for women who had only had one sexual partner. The analysis involved 305 couples in 5 nations from various parts of the world. A prospective study of 5,925 women in Uganda, Zimbabwe and Thailand found no significant difference, nevertheless, 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 males Weaver, 2007. The rise coincides with an increase in the proportion of uncircumcised men in this sexually active age group. Chlamydia trachomatis is in charge of pelvic inflammatory disease that causes ectopic pregnancy, infertility and pelvic pain. It is also a co factor in HPV-induced HIV transmission, cervical cancer and, in both genders. In men, just as in women, it can cause infertility, along with prostatitis and urethral blockage.
Std test closest to Vernon CO. Men and women can get the disease, but women are more likely to be diagnosed Statistically, you are more likely to get an STI in the event you have sex with greater than one man Disease rates are highest among y ounger women partly because their immature cervical cells are vulnerable to illness , but mature 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 every year, together with older women with risk factors like new or multiple partners.
Men as well as women can get the disease, but women are prone to be diagnosed Mathematically, you're more inclined to get an STI in the event you have sex with more than one person Disease 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 nearest CO 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 elderly women with risk factors like multiple or new partners.
The great news is that chlamydia is readily treated by antibiotics The bad news is that 50% of women who contract the disease don't understand 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 beyond the uterus). Untreated chlamydia in pregnancy may result in premature birth.
Std test nearby Vernon, CO, United States. Chlamydia infection, often just called chlamydia, is a sexually transmitted infection brought on by the bacterium Chlamydia trachomatis 1 Most individuals who are infected have no symptoms. When symptoms do develop this may 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 illness can spread to the upper genital tract in women causing pelvic inflammatory disease which might result in future infertility or ectopic pregnancy 3 Recurrent infections of the eyes that go without treatment can lead to trachoma , a standard source of blindness in the developing world 4
Chlamydia may be spread during vaginal , anal , or oral sex , and can be passed from an infected mother to her infant during childbirth 2 The eye infections are often spread by personal contact, flies, and contaminated towels in regions with bad sterilization 4 Chlamydia trachomatis only occurs in humans. 5 Analysis is normally by screening which is advocated yearly in sexually active women under the age of twenty five, others at higher risk, and at the first prenatal visit 2 3 Testing can be done on the urine or a swab of the cervix, vagina, or urethra 3 Rectal or mouth swabs have to diagnose infections in those areas. Std test in Vernon, CO. 3
Prevention is by not having the use of condoms, sex, or having sex with only one other man, who's not infected. 2 Chlamydia could be treated by antibiotics with typically either azithromycin or doxycycline being used. During pregnancy Sexual partners should also be treated and erythromycin or azithromycin is urged in babies and the infected individuals counseled not to have sex for seven days and until symptom free. Gonorrhea , syphilis , and HIV should be examined for in people who have been infected. Following treatment people should be analyzed again 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 can be passed through oral sex, anal, or vaginal. Of people that have an asymptomatic illness which is not found by their doctor, approximately half will develop pelvic inflammatory disease (PID), a generic term for infection of the uterus , fallopian tubes , or ovaries PID can cause scarring in 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 men, those with a chlamydial disease 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 lead to sterility or maybe even treated. Even though the exact relevance in prostatitis is tough to establish because of potential pollution from urethritis, 11 Chlamydia is, in addition, a possible cause of prostatic inflammation in men. Vernon std test. 15
Chlamydia conjunctivitis or trachoma was once the most crucial source of blindness world-wide, but its role decreased from 15% of blindness instances by trachoma in 1995 to 3.6% in 2002. 16 17 The disease may be spread from eye to eye by fingers, materials or shared towels, sneezing and coughing and eye-seeking flies. 18 Newborns may also develop chlamydia eye infection through childbirth (see below). Using the SAFE strategy ( acronym for operation for in growing or in-turned lashes, antibiotics , facial cleanliness, and environmental developments), the World Health Organization aims for the global elimination of trachoma by 2020 (GET 2020 initiative). 19 20
The identification of genital chlamydial infections evolved rapidly from the 1990s through 2006. Nucleic acid amplification tests (NAAT), like polymerase chain reaction (PCR), transcription mediated amplification (TMA), and also the DNA strand displacement amplification (SDA) now are the mainstays. NAAT for chlamydia may be performed on swab specimens sampled from the cervix (women) or urethra (men), on self-collected vaginal swabs, or on voided urine. 26 NAAT has been estimated to have a sensitivity of approximately 90% along with a specificity of about 99%, regardless of sampling from a cervical swab or by urine specimen. 27 In women seeking an STI clinic and a urine test is negative , a following cervical swab has been estimated to be positive in approximately 2% of the time. 27
Because of improved test correctness, ease of specimen management, convenience in specimen management, and ease of screening women and sexually active men, culture has been mainly replaced by the NAATs, the historical gold standard for chlamydia investigation, and also the non-amplified probe evaluations. The latter test is relatively insensitive, successfully finding just 60-80% of infections in asymptomatic women, and often giving effects that are falsely positive. Culture remains useful in selected conditions and is now the sole assay approved 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 other risk factors is recommended 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). Vernon, CO, 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 might be a few other risk factors for disease, for example 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 regular screening of men for chlamydia is advantageous. 13 They recommend regular screening of men that are at increased risk for HIV or syphilis infection. 13
"What is nice about this study is that since we've focused on asymptomatic diseases in women over the last several years, looking at the function of asymptomatic infections in men is a helpful add-on to our epidemiological data," says Carolyn Deal, PhD, leader of the Sexually Transmitted Diseases Branch of the National Institute of Allergy and Infectious Diseases. "Yet, this was a select group, and you also should be cautious about interpreting 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. Vernon, United States std test. Carolyn Deal, PhD, chief, Sexually Transmitted Diseases Branch, National Institute of Allergy and Infectious Diseases, Bethesda, Md.
Nearly half of all women who get chlamydia and aren't 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 may later cause serious complications, including chronic pelvic pain, difficulty becoming pregnant, ectopic (tubal) pregnancy, and other dangerous complications of pregnancy. Std Test nearby Vernon, Colorado. Chlamydia causes 250,000 to 500,000 cases of PID every year in the U.S.
When chlamydia symptoms do appear, they commonly present themselves 1-3 weeks after exposure to the bacteria. For women, symptoms may include an unusual vaginal discharge or a painful or burning sensation during urination. Women can experience abdominal and pelvic pain, fever, nausea, bleeding between periods and pain during sex in the event the infection spreads. For men, symptoms may include a painful burning sensation during urination, and/or unusual discharge from the penis. For both women and men, symptoms of rectal disease may include bleeding or rectal pain.
Chlamydia may be treated and cured with antibiotics. In order to permit the antibiotics to prevent spreading the bacteria to others and to work, individuals infected with chlamydia should abstain from sex for seven days. Likewise, your partner should be medicated to prevent you becoming re-infected. A re-infection of chlamydia is common, particularly when a person's sexual partners haven't been properly handled. Our physicians advise that you along with your partner get re-tested for chlamydia about 21 to 28 days after treatment. This helps ensure the health of both parties and helps mitigate any possible longterm health complications from the chlamydia bacterium.
If left untreated, a chlamydia infection can have major health consequences. Std test nearby Vernon. Untreated illnesses in women can lead to prenatal issues and chronic pelvic pain. Perennial chlamydia infections may lead to serious reproductive issues, including complications during pregnancy and infertility. Furthermore, women exposed to chlamydia have reached a higher danger of getting HIV. For guys, an untreated case of chlamydia can spread to other portions of the penis, prostate and testicles and cause pain and inflammation. If not correctly treated, chlamydia can also lead to male sterility.
Chlamydia pneumoniae is a common species of bacteria of the Chlamydia genus. Reinfection later in life appears common, and approximately 50 percent of Americans aged 20 and older have experienced a Chlamydia pneumoniae disease, notes the Centers for Disease Control and Prevention. Most instances of Chlamydia pneumoniae disease cause no symptoms, or cause mild symptoms not recognized as an illness. In some instances the disease can lead to a respiratory illness, sometimes with characteristic clinical manifestations and symptoms.
Cough symptoms, occasionally over a protracted period, may indicate a case of pneumonia or bronchitis due to a Chlamydia pneumoniae infection. Those illnesses make up the most frequently established disorders associated with Chlamydia pneumoniae, notes Dr. Std test nearest Vernon. Cho-Chou Kuo, in a 1995 review article in "Clinical Microbiology Review." The cough may be accompanied by temperature symptoms. The symptoms might have a subacute beginning, meaning they begin fairly rapidly, but not abruptly. Dr. Chou notes that frequently, by the time a patient sees a doctor, the fever symptoms may have already resolved. The sicknesses linked with Chlamydia pneumoniae infections are usually light, and people are inclined to wait longer than they do with other acute respiratory infections before seeing a physician after the beginning of symptoms.
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