Chlamydial disease, like gonorrhea, is connected with an increased incidence of premature births. Moreover, the fetus can acquire 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 nearest Summertown, Georgia. 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 includes antibiotics. A convenient single-dose treatment for chlamydia is 1 gm of azithromycin ( Zithromax , Zmax ) by mouth. Alternate treatments may also be used, nevertheless, due to the steep price of the drug. The most common 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 a number of other antibiotics that also have been successful 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 confirm success of the treatment is essential.
Diagnosis of chlamydia relies upon a laboratory test to show that 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 method 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 examination by swabbing the cervix, but diagnostic tests could be run on urine samples or self-collected vaginal swabs.
Girls 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. Thus in this large multi-nation study circumcision reduced the risk 82%. Info were identical for women who'd only had one sexual partner. The analysis involved 305 couples from different elements of the planet in 5 nations. 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 teen 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 males in this sexually active age group. Chlamydia trachomatis is accountable for pelvic inflammatory disease that causes infertility, ectopic pregnancy and pelvic pain. It is also a cofactor in HPV-induced cervical cancer and, in both sexes, HIV transmission. In guys, just as in women, it can cause infertility, along with prostatitis and urethral blockage.
Std Test near Summertown, GA. Men as well as women can get the infection, but women are more likely to be diagnosed Mathematically, you are more inclined to get an STI in the event you have sex with more than one person Infection rates are highest among y ounger women partially because their immature cervical cells are vulnerable to illness , 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, in addition to 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 Mathematically, you are more prone to get an STI in case you have sex with greater than one man Disease rates are highest among y ounger women partially because their immature cervical cells are vulnerable to illness , but old age isn't a protection. Std Test in 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, in addition to elderly women with risk factors like new or multiple partners.
The good news is that chlamydia is readily treated by antibiotics The bad news is that 50% of women who get the disease 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 raise the risk of ectopic pregnancy (when the fertilized egg implants outside the uterus). Untreated chlamydia in pregnancy may lead to premature birth.
Std Test nearby Summertown GA, 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 upper genital tract in women causing pelvic inflammatory disease that might lead to future infertility or ectopic pregnancy 3 Recurrent diseases of the eyes that go without treatment can result in trachoma , a common source of blindness in the developing world 4
Chlamydia could be spread during vaginal , anal , or oral sex , and may be passed from an infected mother to her infant during childbirth 2 The eye infections can also be spread by personal contact, flies, and dirty towels in areas with bad sanitation 4 Chlamydia trachomatis only appears in humans. 5 Identification is normally by screening that 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 achieved on the pee or a swab of the cervix, vagina, or urethra 3 Rectal or mouth swabs have to diagnose infections in those places. Std Test near Summertown, GA. 3
Prevention is by having sex with only one other person, who's 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 erythromycin or azithromycin is recommended in babies and the individuals that were infected advised not to have sex for seven days and until symptom free. Gonorrhea , syphilis , and HIV should be tested 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 uterus) 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 those that have an asymptomatic illness that is not found by their physician, approximately half will develop 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 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 show symptoms of infectious 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 fever. If left untreated, chlamydia in men can spread to the testicles causing epididymitis , which in rare cases may lead to sterility if not treated. Even though the precise relevance in prostatitis is difficult to ascertain because of potential contamination from urethritis 11 Chlamydia is also a potential cause of prostatic inflammation in men. Summertown Std Test. 15
Chlamydia conjunctivitis or trachoma was once the most important source of blindness world-wide, but its role decreased from 15% of blindness cases by trachoma in 1995 to 3.6% in 2002. 16 17 The disease may be spread from eye to eye by fingers, shared towels or fabrics, coughing and sneezing and eye-seeking flies. 18 Newborns can also develop 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 developments), 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 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 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 have a sensitivity of about 90% and a specificity of about 99%, regardless of sampling from a cervical swab or by urine sample. 27 In women seeking an STI practice as well as a urine test is negative , a subsequent cervical swab was estimated to be positive in about 2% of the time. 27
Due to improved evaluation accuracy, ease of specimen management, convenience in specimen management, and ease of screening sexually active men as well as women, culture has been largely replaced by the NAATs, the historical gold standard for chlamydia identification, and also the non-amplified probe evaluations. The latter test is comparatively insensitive, successfully finding only 60-80% of infections in asymptomatic women, and often giving falsely positive results. Culture remains useful in selected circumstances and is presently the only assay qualified for testing non-genital specimens. Other method 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 recommended in those under 25 and others at risk of infection. 12 Risk factors include a history of condom use that is inconsistent, new or multiple sexual partners, and chlamydial or other sexually transmitted infection. 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 recommends screening women aged 25 or younger). Summertown GA United States std test. The American College of Obstetricians and Gynecologists recommends screening all at risk, while the Centers for Disease Control and Prevention advocate universal screening of pregnant women. 12 The USPSTF acknowledges that in some communities there could be other risk factors for infection, like ethnicity. 12 Evidence-based recommendations for screening initiation, intervals and termination are presently not possible. 12 For men, the USPSTF concludes evidence is now insufficient to determine if regular screening of men for chlamydia is valuable. 13 They recommend routine screening of men who are at increased risk for HIV or syphilis disease. 13
"What's nice about this study is the fact that since we've focused on asymptomatic infections in women over the last several years, taking a look at the function of asymptomatic infections in men is a helpful add-on to our epidemiological data," says Carolyn Deal, PhD, chief 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 always be careful about interpreting information from one group to another for a number of reasons."
SOURCES: The Lancet, May 24, 2003. Division 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. Summertown United States std test. Carolyn Deal, PhD, chief, Sexually Transmitted Diseases Division, National Institute of Allergy and Infectious Diseases, Bethesda, Md.
Nearly 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 inside 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 Summertown, Georgia. 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 a painful or burning sensation or an unusual vaginal discharge during urination. Women can experience stomach 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 as well as men, symptoms of rectal infection may include rectal pain or bleeding.
Chlamydia could 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. Similarly, your partner should as be medicated to avoid you getting re-infected. A re-infection of chlamydia is common, especially when a person's sexual partners have not been correctly treated. Our physicians recommend that you as well as your partner 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 important health consequences if left untreated. Std Test nearest Summertown. Untreated illnesses in women may lead to prenatal difficulties and chronic pelvic pain. Perennial chlamydia infections may result in serious reproductive problems, including complications during pregnancy and infertility. Additionally, women exposed to chlamydia have reached a higher risk for contracting HIV. For men, an untreated case of chlamydia can spread to different elements of the penis, prostate and testicles and cause inflammation and pain. If not properly treated, chlamydia can also result in male sterility.
Chlamydia pneumoniae is a common species of bacteria of the Chlamydia genus. Reinfection later in life seems common, and about 50 percent of Americans aged 20 and older have experienced a Chlamydia pneumoniae infection, 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 disease can result in a respiratory illness, sometimes with characteristic clinical manifestations and symptoms.
Cough symptoms, occasionally over a prolonged period, may indicate a case of bronchitis or pneumonia because of Chlamydia pneumoniae disease. Those illnesses represent the most frequently accepted disorders associated with Chlamydia pneumoniae, notes Dr. Std Test closest to Summertown. 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 characteristically sub-acute onset, meaning they start pretty quickly, but not abruptly. Dr. Chou notes that frequently, by the time a patient sees a physician, the fever symptoms may have already solved. The illnesses related to Chlamydia pneumoniae infections are usually light, and people are inclined to wait longer before seeing a doctor following the beginning of symptoms than they do with other acute respiratory infections.
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