Chlamydial infection, like gonorrhea, is connected with a greater incidence 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 particular reason, all newborns are treated with eye drops containing an antibiotic that kills chlamydia. Std test closest to Harwich, Massachusetts. Treatment of all newborns is routine due to the high number of infected women without symptoms and also the serious effects of chlamydial eye infection to the newborn
Treatment of chlamydia involves antibiotics. A convenient single-dose treatment for chlamydia is 1 gm of azithromycin ( Zithromax , Zmax ) by mouth. Alternate treatments can also be used, however, because of the steep cost of the drug. 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 has been little, if any, resistance of chlamydia to antibiotics that are currently used. 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 require treatment. Follow up testing to confirm success of the treatment is very important.
Diagnosis of chlamydia relies upon a lab evaluation to attest the organism is present, either through culture or identification of the genetic material of the bacteria. Culture is an older and more time consuming procedure of identifying the bacteria and is no longer routinely used. For routine diagnostic purposes, accelerated 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 can be got at the time of gynecologic examination 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 display a 5.6-fold increased risk of infection with Chlamydia trachomatis than women whose partner was circumcised Castellsague et al., 2005. Hence in this large multi-country study circumcision reduced the risk 82%. Data were identical for women who had only ever had one sexual partner. The study involved 305 couples in 5 countries from various 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 cases 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 gain 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, along with prostatitis and urethral blockage.
Std Test nearby Harwich, MA. Men as well as women can get the disease, but women are more prone to be diagnosed Mathematically, you're 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 mature 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 each year, as well as elderly women with risk factors like multiple or new partners.
Men as well as women can get the disease, but women are more prone to be diagnosed Mathematically, you're more prone to get an STI if you have sex with more than one man Disease rates are highest among y ounger women partly because their immature cervical cells are exposed to illness , but mature age is not a protection. Std test near me MA 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, as well as elderly women with risk factors like multiple or new partners.
The good news is the fact that chlamydia is readily cured by antibiotics The bad news is that 50% of women who contract the disease don't understand 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 beyond the uterus). Untreated chlamydia in pregnancy may lead to premature birth.
Std test near me Harwich MA, United States. Chlamydia disease, often just called 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 infection can spread to the top 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 lead to 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 may also be spread by personal contact, flies, and contaminated towels in areas with poor sterilization 4 Chlamydia trachomatis just appears in humans. 5 Analysis is frequently by screening that is advocated annually in sexually active women under the age of twenty five, others at higher risk, and at the first prenatal visit 2 3 Testing could be carried out on the urine or a swab of the cervix, vagina, or urethra 3 Rectal or mouth swabs have to diagnose infections in those places. Std Test closest to Harwich MA. 3
Prevention is by not having sex, the use of condoms, or having sex with just one other individual, who is not infected. 2 Chlamydia could be treated by antibiotics with usually either azithromycin or doxycycline being used. During pregnancy Sexual partners must likewise be treated and erythromycin or azithromycin is advocated in babies and the infected people advised not to have sex for seven days and until symptom free. Gonorrhea , syphilis , and HIV should be analyzed for in people who have been infected. Following treatment individuals ought to be examined again 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 vaginal, anal, or oral sex. Of those who have an asymptomatic illness that isn't found by their doctor, approximately half will develop pelvic inflammatory disease (PID), a common term for infection of the uterus , fallopian tubes , 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.
In men, those with a chlamydial disease reveal symptoms of infectious inflammation of the urethra in about 50% of instances. 11 Symptoms that could 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. Although the precise relevance in prostatitis is tough to establish due to possible pollution from urethritis, 11 Chlamydia is, in addition, a possible cause of prostatic inflammation in men. Harwich Std Test. 15
Chlamydia conjunctivitis or trachoma was once the main source of blindness world-wide, but its function fell 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, shared towels or fabrics, coughing and sneezing and eye-seeking flies. 18 Newborns may also grow chlamydia eye infection through childbirth (see below). Using the SAFE strategy ( acronym for surgery for ingrowing or in-turned lashes, antibiotics , facial cleanliness, and environmental progress), 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 rapidly from the 1990s through 2006. Nucleic acid amplification tests (NAAT), such as polymerase chain reaction (PCR), transcription mediated amplification (TMA), as well as 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 (men), on self collected vaginal swabs, or on voided urine. 26 NAAT has been estimated to have a sensitivity of approximately 90% and a specificity of approximately 99%, regardless of 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 about 2% of the time. 27
As a result of improved evaluation accuracy, ease of specimen direction, convenience in specimen management, and ease of screening women as well as sexually active men, the NAATs have mainly replaced heritage, the historical gold standard for chlamydia diagnosis, and the non-amplified probe tests. The latter test is relatively insensitive, successfully detecting just 60-80% of diseases in asymptomatic women, and often giving results that are falsely positive. Heritage stays useful in selected circumstances and is currently the sole assay qualified for testing non-genital specimens. Other process 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 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 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). Harwich MA United States std test. While the Centers for Disease Control and Prevention advocate 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 infection, such as 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 routine screening of men for chlamydia is valuable. 13 They advocate routine screening of men who are at increased risk for syphilis or HIV infection. 13
"What is nice about this study is the fact that since we have focused on asymptomatic diseases in women during the last several years, looking at the role of asymptomatic diseases in men is a helpful addition to our epidemiological data," says Carolyn Deal, PhD, leader of the Sexually Transmitted Diseases Division of the National Institute of Allergy and Infectious Diseases. "Nevertheless, this was a select group, and you must always be cautious about interpreting information from one group to another for various 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. Harwich 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 aren't treated by a doctor 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 could later cause serious complications, including chronic pelvic pain, difficulty becoming pregnant, ectopic (tubal) pregnancy, and other dangerous complications of pregnancy. Std test in Harwich Massachusetts. 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 painful or burning sensation or an unusual vaginal discharge during urination. In case the disease 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 both women and men, symptoms of rectal disease may include bleeding or rectal pain.
Chlamydia could be treated and cured with antibiotics. Individuals infected with chlamydia should abstain from sex for seven days as a way to allow the antibiotics to work and to prevent spreading the bacteria to others. Likewise, your partner should as be treated to prevent you getting re-contaminated. A re-infection of chlamydia is common, especially when a person's sexual partners haven't been properly handled. Our physicians recommend that you and 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 potential longterm health complications from the chlamydia bacterium.
A chlamydia infection can have major health consequences, if left untreated. Std test closest to Harwich. Untreated infections in women can result in prenatal difficulties and chronic pelvic pain. Chlamydia diseases that are perennial may lead to serious reproductive issues, including complications during pregnancy and infertility. In addition, women exposed to chlamydia are at a higher risk for contracting HIV. For guys, an untreated case of chlamydia can spread to different parts of the penis, prostate and testicles and cause inflammation as well as pain. 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 seems common, notes the Centers for Disease Control and Prevention. Most cases of Chlamydia pneumoniae disease cause mild symptoms not recognized as an illness, or cause no symptoms. In some instances the disease can cause a respiratory illness, occasionally with characteristic clinical manifestations and symptoms.
Cough symptoms, sometimes over a lengthy period, may indicate a case of bronchitis or pneumonia as a result of Chlamydia pneumoniae disease. Those illnesses constitute the most frequently established disorders connected with Chlamydia pneumoniae, notes Dr. Std test nearest Harwich. 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 characteristically sub-acute beginning, meaning that they begin pretty quickly, but not suddenly. Dr. Chou notes that regularly, by the time a patient sees a physician, the fever symptoms may have already resolved. The illnesses linked with Chlamydia pneumoniae infections are usually mild, and folks tend to wait longer before seeing a doctor after the beginning of symptoms than they do with other acute respiratory infections.
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