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Friday, February 10, 2012
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Management of Uncomplicated Chlamydia trachomatis
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- Azithromycin 1 g taken as a single oral dose
or
- Doxycycline 100 mg bd for 7 days (or 200mg once-daily) - taken with food and sun-precautions
REVIEW
A repeat test to exclude re-infection is recommended at three months as re-infection rates are high. Test-of-cure for chlamydia is not recommended, apart from in pregnancy. However, repeat testing should be performed at least 3 weeks after completion of treatment if symptoms persist or if there is concern regarding adherence or reinfection from an inadequately treated partner.
PARTNER NOTIFICATION
Partner notification should be discussed with patients diagnosed with chlamydia. Consider referring patients to the Let Them Know website (www.letthemknow.org.au) which is designed to support patients to undertake partner notification and which facilitates sending of SMS and email messages to partners. Partners should be contacted, tested and treated without waiting for their test results. Individuals should abstain from sex with their partners until 7 days after both have received treatment.
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