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Treatment of chlamydia in pregnancy

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Chlamydia infection should be managed at a specialist genitourinary medicine (GUM) clinic. The GUM clinic will be able to screen for further sexually transmitted diseases and undertake contact tracing.

Chlamydia treatment if pregnant/breastfeeding in adult:

  • azithromycin 1g stat for one day; then 500mg once daily for two days (total course 3 days)

Key points:

  • opportunistically screen all sexually active patients aged 15 to 24 years for chlamydia annually and on change of sexual partner
  • if positive, treat index case, refer to GUM and initiate partner notification, testing and treatment
  • advise patient with chlamydia to abstain from sexual intercourse for 7 days after treatment with azithromycin (14 days after azithromycin started and until symptoms resolved if urethritis)
  • if chlamydia, test for reinfection at 3 to 6 months following treatment if under 25 years; or consider if over 25 years and high risk of re-infection
  • as lower cure rate in pregnancy, test for cure at least 3 weeks after end of treatment.
  • consider referring all patients with symptomatic urethritis to GUM as testing should include Mycoplasma genitalium and Gonorrhoea.

Reference:


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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