Chlamydial infection, like gonorrhea, is related to a greater incidence of premature births. Moreover, the fetus can get the disease 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 nearby Dawsonville Georgia. 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 therapy for chlamydia is 1 gm of azithromycin ( Zithromax , Zmax ) by mouth. Alternate treatments can also be used, nevertheless, due to the high cost of this medication. The most common 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 lots of other antibiotics that also have been effective against chlamydia. As with gonorrhea, a condom or another protective barrier prevents the spread of the disease. Sexual partners also require treatment. Follow-up testing to verify success of the treatment is vital.
Identification of chlamydia relies upon a lab test to attest the organism is present, either through culture or identification of the genetic material of the bacteria. Culture is an older and much more time consuming procedure of identifying the bacteria and is no longer normally used. For routine diagnostic purposes, accelerated tests that identify the bacterial genetic material are commonly used. These are referred to as nucleic acid amplification tests, or NAATs. The specimen for NAATs could be gotten at the time of gynecologic evaluation 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-nation study circumcision reduced the danger 82%. Data were identical for women who had only had one sexual partner. The study involved 305 couples in 5 states from different portions of the planet. 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 teenage 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 infertility, ectopic pregnancy and pelvic pain. It is also a co factor in HPV-induced cervical cancer and, in both sexes, HIV transmission. In men, just as in women, it can cause infertility, along with prostatitis and urethral blockage.
Std Test near Dawsonville, GA. Men and women can get the infection, but women are prone to be diagnosed Statistically, you're more inclined to get an STI in the event you have sex with greater than one person Disease rates are highest among y ounger women partly because their immature cervical cells are exposed to illness , but older 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 annually, together with elderly women with risk factors like multiple or new partners.
Men as well as women can get the infection, but women are more likely to be diagnosed Statistically, you're prone to get an STI in the event you have sex with greater than one individual Disease rates are highest among y ounger women partially because their immature cervical cells are vulnerable to illness , but mature age isn't a protection. Std test near me GA, United States. 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.
The great news is that chlamydia is readily treated by antibiotics The bad news is that 50% of women who contract the disease do not know they are 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 near Dawsonville GA United States. Chlamydia infection, often just referred to as chlamydia, is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis 1 Most people that are infected have no symptoms. When symptoms do develop this may take a few 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 may lead to future infertility or ectopic pregnancy 3 Repeated infections of the eyes that go without treatment can result in trachoma , a common source 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 contaminated towels in areas with bad sterilization 4 Chlamydia trachomatis only appears in humans. 5 Analysis is usually by screening which is advocated yearly 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 done on the urine or a swab of the cervix, vagina, or urethra 3 Rectal or mouth swabs must diagnose illnesses in those regions. Std test near Dawsonville GA. 3
Prevention is by having sex with just one other person, who is not infected, or not having the use of condoms, sex. 2 Chlamydia can be cured by antibiotics with usually either azithromycin or doxycycline being used. During pregnancy Sexual partners should even be treated and azithromycin or erythromycin is advocated in infants and the infected people counseled not to have sex for seven days and until symptom free. Gonorrhea , syphilis , and HIV ought to be examined for in those who have been infected. Following treatment people should 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 could be passed through anal, vaginal, or oral sex. Of those that have an asymptomatic illness that's not discovered by their doctor, 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 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 disease reveal symptoms of contagious inflammation of the urethra in about 50% of instances. 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 cases can cause sterility or maybe even treated. Even though the precise relevance in prostatitis is difficult to establish because of potential contamination from urethritis 11 Chlamydia is also a potential cause of prostatic inflammation in men. Dawsonville Std Test. 15
Chlamydia conjunctivitis or trachoma was once the main source of blindness worldwide, but its role declined from 15% of blindness instances by trachoma in 1995 to 3.6% in 2002. 16 17 The disease can be spread from eye to eye by fingers, fabrics or shared towels, sneezing and coughing and eye-seeking flies. 18 Newborns can also develop chlamydia eye infection through childbirth (see below). Utilizing the SAFE strategy ( acronym for surgery for in growing 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 analysis 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), and also the DNA strand displacement amplification (SDA) now are the mainstays. NAAT for chlamydia could 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 have a sensitivity of approximately 90% along with a specificity of about 99%, irrespective 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 was estimated to be positive in about 2% of the time. 27
As a result of improved evaluation correctness, ease of specimen direction, convenience in specimen direction, and ease of screening women as well as sexually active men, culture has been mostly replaced by the NAATs, the historical gold standard for chlamydia identification, and also the non-amplified probe tests. The latter test is relatively insensitive, successfully finding only 60-80% of diseases in asymptomatic women, and often giving effects that are falsely positive. Heritage stays useful in selected conditions and is presently the only assay approved for testing non-genital specimens. Other method also exist including: ligase chain reaction (LCR), direct fluorescent antibody resting, enzyme immunoassay, and cell culture. 28
For sexually active women that are not pregnant, screening is recommended in others at risk of infection and those under 25. 12 Risk factors include a history of inconsistent condom use, new or multiple sexual partners, and chlamydial or other sexually transmitted infection. 13 For pregnant women, guidelines vary: screening women with age or alternative risk factors is recommended 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). Dawsonville, GA, 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, including ethnicity. 12 Evidence-based recommendations for screening initiation, conclusion 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 guys that are at increased risk for syphilis or HIV infection. 13
"What is nice about this study is that since we have focused on asymptomatic diseases in women during the last several years, taking a look at the role of asymptomatic diseases 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 must always 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. Dawsonville United States Std Test. Carolyn Deal, PhD, chief, Sexually Transmitted Diseases Branch, National Institute of Allergy and Infectious Diseases, Bethesda, Md.
Almost 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 within the reproductive organs, which could later cause serious complications, including chronic pelvic pain, difficulty becoming pregnant, ectopic (tubal) pregnancy, and other dangerous complications of pregnancy. Std Test in Dawsonville, Georgia. 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 painful or burning sensation or an abnormal vaginal discharge during urination. Women can experience stomach and pelvic pain, fever, nausea, bleeding between periods and pain during sex, in case the disease spreads. For men, symptoms may include a painful burning sensation during urination, or unusual discharge from the penis. For both women and men, symptoms of rectal infection may include bleeding or rectal pain.
Chlamydia can be treated and cured with antibiotics. As a way to permit the antibiotics to prevent spreading the bacteria to others and to work, people infected with chlamydia should abstain from sex for 7 days. Similarly, your partner should as be medicated to prevent you becoming re-infected. A re-infection of chlamydia is common, especially when a person's sexual partners have not been correctly treated. Our doctors recommend that your partner and you get re-tested for chlamydia approximately 21 to 28 days after treatment. This helps ensure the well-being of both parties and helps mitigate any potential longterm health complications from the chlamydia bacterium.
If left untreated, a chlamydia infection can have important health consequences. Std test nearest Dawsonville. Untreated illnesses in women may cause prenatal issues and chronic pelvic pain. Chlamydia diseases that are perennial may lead to serious reproductive problems, including complications during pregnancy and infertility. In addition, women exposed to chlamydia are at a higher danger of contracting HIV. For guys, an untreated case of chlamydia can spread to other portions of the penis, prostate and testicles and cause pain as well as inflammation. If not properly treated, chlamydia may 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 approximately 50 percent of Americans aged 20 and older, 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 instances the disease can cause a respiratory illness, occasionally with characteristic clinical manifestations and symptoms.
Cough symptoms, sometimes over a prolonged period, may signal a case of pneumonia or bronchitis as a result of Chlamydia pneumoniae disease. Those illnesses make up the most frequently recognized ailments associated with Chlamydia pneumoniae, notes Dr. Std test near me Dawsonville. Cho-Chou Kuo, in a 1995 review article in "Clinical Microbiology Review." The cough may be accompanied by fever symptoms. The symptoms might have a characteristically subacute beginning, meaning they start pretty quickly, but not abruptly. Dr. Chou notes that often, by the time a patient sees a doctor, the fever symptoms may have already worked out. The sicknesses related to Chlamydia pneumoniae infections are often mild, and folks are inclined to wait longer than they do with other acute respiratory infections, before seeing a physician after the onset of symptoms.
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