Chlamydial

Canadian Guidelines on Sexually Transmitted Infections – Chlamydial Infections

Diagnosis:

- First catch urine recommended for both Chlamydia trachomatis and Neisseria gonorrhoeae NAAT testing.

- Test and treat, regardless of clinical signs/symptoms, all recent (60 days) sexual contacts. Patients should abstain from sexual intercourse during, and for 7 days after therapy, and until all their sexual partners are treated. Repeat treatment if re-exposed to untreated partner.

- Test of cure recommended (no sooner than 3-4 weeks post-treatment to avoid false positive results):

• where compliance is suboptimal

• persistent signs or symptoms post-therapy

• if regimen other than azithromycin or doxycycline has been used.

- Repeat testing recommended in all cases 6 months post-treatment.

Chlamydia trachomatis