Chlamydial disease, like gonorrhea, is associated with an elevated incidence of premature births. Furthermore, 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 near me Parsonsfield, Maine. Treatment of all newborns is routine due to the high number of 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 treatment for chlamydia is 1 gm of azithromycin ( Zithromax , Zmax ) by mouth. Alternate treatments can also be used, however, due to the steep price of the medication. 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's been little, if any, resistance of chlamydia to currently used antibiotics. There are lots 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 need 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 process of identifying the bacteria and is routinely used. For routine diagnostic purposes, rapid evaluations that identify the bacterial genetic material are popular. All these are referred to as nucleic acid amplification tests, or NAATs. The specimen for NAATs may be gotten at the time of gynecologic evaluation by swabbing the cervix, but diagnostic tests can 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. Consequently in this big multi-country study circumcision reduced the risk 82%. Information were identical for women who'd only ever had one sexual partner. The study involved 305 couples from different parts of the planet in 5 states. 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 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 accountable for pelvic inflammatory disease that causes pelvic pain, ectopic pregnancy and infertility. It is also a co factor 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 me Parsonsfield, ME. 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 if you have sex with more than one person Disease rates are highest among y ounger women partially because their immature cervical cells are vulnerable 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 annually, together with elderly women with risk factors like multiple or new partners.
Men and women can get the disease, but women are prone to be diagnosed Statistically, you are more likely to get an STI if you have sex with greater than one man Infection rates are highest among y ounger women partly because their immature cervical cells are exposed to infection , but mature age is not a protection. Std test near me ME, United States. The Centers for Disease Control and Prevention recommends that all sexually active women age 25 and younger get screened for chlamydia annually, in addition to elderly women with risk factors like new or multiple partners.
The good news is the fact that chlamydia is easily cured by antibiotics The bad news is that 50% of women who get 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 can also increase the risk of ectopic pregnancy (when the fertilized egg implants outside of the uterus). Untreated chlamydia in pregnancy may lead to premature birth.
Std Test nearby Parsonsfield ME United States. Chlamydia disease, often just called chlamydia, is a sexually transmitted infection due to the bacterium Chlamydia trachomatis 1 Most people that 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 infection can spread to the upper genital tract in women causing pelvic inflammatory disease which may result in future infertility or ectopic pregnancy 3 Recurrent diseases of the eyes that go without treatment can result in trachoma , a common cause 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 baby during childbirth 2 The eye infections are often spread by personal contact, flies, and contaminated towels in regions with poor sanitation 4 Chlamydia trachomatis only appears in humans. 5 Diagnosis is generally by screening which is recommended 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 urine or a swab of the cervix, vagina, or urethra 3 Rectal or mouth swabs must diagnose infections in those areas. Std test nearest Parsonsfield ME. 3
Prevention is by not having the usage of condoms, sex, or having sex with only one other person, who is not infected. 2 Chlamydia could be cured by antibiotics with usually either azithromycin or doxycycline being used. During pregnancy Sexual partners should likewise be treated and azithromycin or erythromycin is advocated in infants 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 analyzed for in those who've been infected. Following treatment people should be tested 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 may be passed through vaginal, anal, or oral sex. Of those that have an asymptomatic infection that is not detected by their physician, approximately half will develop pelvic inflammatory disease (PID), a generic term for infection of the uterus , fallopian tubes , 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.
In men, people that have a chlamydial infection show 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 ascertain due to possible contamination from urethritis, 11 Chlamydia is also a possible cause of prostatic inflammation in men. Parsonsfield std test. 15
Chlamydia conjunctivitis or trachoma was once the main source of blindness world-wide, but its role fell 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 materials, 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 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 diseases evolved quickly from the 1990s through 2006. Nucleic acid amplification tests (NAAT), such as 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 (men), on self collected vaginal swabs, or on voided urine. 26 NAAT has been estimated to truly have a sensitivity of approximately 90% along with a specificity of around 99%, no matter sampling from a cervical swab or by urine specimen. 27 In women seeking an STI clinic and a urine test is negative , a subsequent cervical swab was estimated to be positive in about 2% of the time. 27
As a result of improved test accuracy, ease of screening sexually active men as well as women, and ease of specimen management, convenience in specimen direction, culture has been mainly replaced by the NAATs, the historic gold standard for chlamydia diagnosis, as well as the non-amplified probe evaluations. The latter test is relatively insensitive, successfully discovering just 60-80% of infections in asymptomatic women, and often giving falsely positive effects. Heritage remains useful in selected conditions and is currently the sole assay qualified for testing non-genital specimens. Other approach 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 those under 25 and others at risk of infection. 12 Risk factors include a history of chlamydial or other sexually transmitted infection, new or multiple sexual partners, and condom use that is inconsistent. 13 For pregnant women, guidelines vary: screening women with age or other 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 advocates screening women aged 25 or younger). Parsonsfield ME, 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 might be a few other risk factors for infection, including ethnicity. 12 Evidence-based recommendations for screening initiation, intervals and termination are currently not possible. 12 For guys, the USPSTF concludes evidence is currently insufficient to determine if regular screening of men for chlamydia is favorable. 13 They recommend routine screening of men that 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 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, chief of the Sexually Transmitted Diseases Division of the National Institute of Allergy and Infectious Diseases. "However, this was a select group, and you should always be careful about interpreting information from one group to another for many different 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. Parsonsfield 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 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 near me Parsonsfield Maine. 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 a burning or painful sensation or an unusual vaginal discharge during urination. If the infection 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, and/or unusual discharge from the penis. For men and women, symptoms of rectal infection may include bleeding or rectal pain.
Chlamydia can be treated and cured with antibiotics. In order to permit the antibiotics to prevent spreading the bacteria to others and to work, people infected with chlamydia should abstain from sex for seven days. Similarly, your partner should be medicated to avoid you getting re-contaminated. A re-infection of chlamydia is common, particularly when someone 's sexual partners have not been properly handled. Our doctors advise that you and 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 potential longterm health complications from the chlamydia bacterium.
A chlamydia infection can have important health consequences, if left untreated. Std test in Parsonsfield. Untreated infections in women can lead to chronic pelvic pain and prenatal difficulties. Perennial chlamydia diseases may lead to serious reproductive issues, including complications during pregnancy and infertility. In addition, women exposed to chlamydia have reached a higher danger of getting HIV. For guys, an untreated case of chlamydia can spread to different elements of the penis, prostate and testicles and cause pain as well as inflammation. If not correctly treated, chlamydia may also lead to male sterility.
Chlamydia pneumoniae is a common species of bacteria of the Chlamydia genus. Reinfection after in life appears common, and about 50 percent of Americans aged 20 and older have experienced a Chlamydia pneumoniae disease, notes the Centers for Disease Control and Prevention. Most cases of Chlamydia pneumoniae infection cause mild symptoms not recognized as an illness, or cause no symptoms. In some cases the infection can cause a respiratory illness, occasionally with symptoms and characteristic clinical manifestations.
Cough symptoms, occasionally over a protracted period, may signal a case of pneumonia or bronchitis because of Chlamydia pneumoniae infection. Those illnesses constitute the most often established disorders connected with Chlamydia pneumoniae, notes Dr. Std Test near Parsonsfield. Cho-Chou Kuo, in a 1995 review article in "Clinical Microbiology Review." Fever symptoms may accompany the cough. The symptoms might have a sub-acute beginning, meaning that they start pretty quickly, but not unexpectedly. Dr. Chou notes that regularly, by the time a patient sees a physician, the fever symptoms may have already solved. The sicknesses linked with Chlamydia pneumoniae infections are usually light, and people have a tendency to wait longer before seeing a physician after the start of symptoms than they do with other acute respiratory infections.
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