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Chlamydiosis – Treatment, Prevention And Complications

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Chlamydiosis – Treatment, Prevention And Complications

Chlamydia infection can be cured with antibiotics. This disease does not cause long term damage if treated in time, before complications occur. Left untreated, it can cause multiple complications.

Treatment is recommended for:

  • Persons who tested positive for Chlamydia
  • Sexual partners from the last 60 days of infected people, even if asymptomatic
  • Newborn babies whose mothers were infected at birth.

It is very important to avoid sexual intercourse for 7 days after chalmydia treatment . If the sexual partner is not treated simultaneously, reinfection occurs. Chalmydia treatment should be encouraged for both sexual partners. Condoms are recommended to lower the chances reinfection. Some people who have chlamydia may also have, gonorrhea. In these cases, treatment includes antibiotics that can cure both gonorrhea and chlamydia. Reinfection is very possible. Chamydiosis symptoms that continue after treatment are likely caused by reinfection rather than an ineffective treatment. To prevent reinfection, sexual partners should be evaluated and treated, if necessary.

Repeated chamydia infections increase the risk for sexually inflammatory disease. Even one infection can lead to sexual inflammatory disease if not treated properly. Medical prescriptions of antibiotics recommended by your doctor must be respected. Treatment should be carried out completely, even if symptoms improve after a few days. Retesting is recommended 3-4 months after treatment to reduce the risk of complications and reinfection.

Chlamydiosis

Chlamydiosis

Chalmydiosis Home Treatment

There is no treatment that can be done at home without consulting your doctor. Antibiotics must be administered exactly according to prescription. Only this way the infection can be cured. The discovery of a chlamydia infection can cause negative feelings about about a sexual partner like shame or anger towards the person who spread the infection, psychological counseling is recommended in these cases.

Antibiotics administered according to the prescription will cure chlamydia.
If antibiotics are not administered properly, the infection will not be eradicated. Prompt treatment is mandatory to prevent transmission of infection and to reduce the risk of complications such as pelvic inflammatory disease. Unprotected sexual intercourse should be avoided until the infected person or sexual partner have completely finished the treatment.

  • Azithromycin
  • Amoxicillin
  • Doxycycline
  • Erythromycin
  • Ofloxacin
  • Levofloxacin

All these antibiotics may be prescribed to men and women who are not pregnant. Pregnant women can take only the following antibiotics:

  • Erythromycin
  • Amoxicillin
  • Azithromycin

Infants should only be administered erythromycin.

Recommended treatment regimens

There are several effective treatment regimens:

  1. Azithromycin 1g orally – one dose
  2. Doxycycline 100 mg orally 2 times a day – 7 days
  3. Erythromycin 500 mg orally 4 times a day – 7 days
  4. Ofloxacin 300 mg orally 2 times a day- 7 days
  5. Lefloxacin 500 mg per os – 7 days

Azithromycin and doxycycline are both effective in treating chlamydia infection. Some people can not take some of these drugs, but alternative schemes exist. HIV infected persons also receive the same treatment and those uninfected.

Recommended regimens for pregnant women

  1. Erythromycin 500 mg orally 4 times a day – 7 days
  2. Amoxicillin 500 mg orally 3 times a day – 7 days

Both erythromycin and amoxicillin can be used for treating infected pregnant women, although some may have few side effects to amoxicillin.

The following treatment schemes can be used:

  • Erythromycin 250 mg orally 4 times per day – 14 days
  • Azithromycin 1 g orally – one dose

Retesting is recommended 3 weeks after treatment. This is done to prevent complications unhealed infections.

Chlamydiosis Antibioti

Chlamydiosis Antibioti

Adverse Effects

The most common side effects of these drugs are nausea and vomiting. Azithromycin administered after meals reduces nausea.
Doxycycline has fewer cases of nausea and vomiting but can cause fungal infections. If the adverse effects that occur can not be controlled, a doctor must be consulted and antibiotics with fewer side effects will be prescribed.

A recent study shows that people taking large erythromycin doses concomitantly with other drugs have a increased risk for sudden death. The study demonstrates that administration of erythromycin concomitantly with drugs that inhibit liver enzymes such as calcium channel blockers, antifungal drugs, some antidepressants,  increase the risk for sudden death therefore it is recommended  these drugs are taken separately.

To be effective, antibiotics must be administered under medical prescription. If the treatment is interupted or certain doses are forgotten, the infection will not be eradicated. The advantage of azithromycin is that it can be administered in a single dose. Because it is easy to administer, this drug reduces the risk of chlamydia infection transmission.

Patients should avoid sexual contact during treatment. Patients who are taking a single dose of azithromycin should not have any sexual contact for 7 days after taking the tablet. Retesting is recommended 3-4 months after the end of treatment to reduce the risk of complications and the reinfection risk. Medical consultation is recommended if the symptoms continue or other symptoms appear 3-4 weeks after treatment. Women with pelvic inflammatory disease or men with epididymitis may require intravenous treatment in a hospital.

Left untreated, chalmydia infections can cause complications including abscesses that may require surgical drainage or excision of the abscess.

Prevention

Risk of infection with chlamydia or other sexually transmitted diseases can be reduced. Prevention of sexually transmitted diseases is much easier than treating them.

  • Talk to your sexual partners about STDs before beginning  sexual intercourse with them. You must know if they are at risk for such diseases. Remember that you can be infected with a sexually transmitted agent without knowing. HIV, for example is positive to testing three to six months after the initial infection.
  • Avoid sexual contact with a partner who has symptoms or was recently treated for a sexually transmitted disease.
  • Avoid sexual contact if you have symptoms or you have been treated for a sexually transmitted disease.
  • Do not have sexual contact with more partners at once, the risk for STDs if you have multiple sexual partners increases.
  • Use condoms, as condom reduces the risk for STDs. The condom should be applied before starting intercourse.
  • Use a condom during intercourse with a new partner, before being sure that no such disease.
Chlamydiosis Prevention

Chlamydiosis Prevention

Complications
Chlamydiosis left untreated can cause a variety of complications. Complications in women include:

  • Cervicitis (inflammation of the cervix)
  • Urethritis (inflammation of the urethra)
  • Endometritis (inflammation of the uterus)
  • Inflammation of glands
  • Pelvic inflammatory disease (inflammation of the uterus, fallopian tubes or ovaries)
  • Pelvic abscess
  • Infertility
  • Fitz-Hugh-Curtis syndrome (a rare inflammatory liver disease).

Complications in pregnant women include:

  • Ectopic pregnancy (outside the uterus)
  • Abortion
  • Premature birth
  • Premature rupture of membranes.

Complications in newborns include:

  • Premature birth – with an increased risk for other health problems
  • Conjunctivitis – inflammation of the eyelids and eye area, approximately 50% of infected infants develop conjunctivitis
  • The nose and throat infections
  • Otitis media (ear infection)
  • Urethritis (although rare in infants).

Complications in men include:

  • Urethritis
  • Epididymitis (inflammation of the tubules that carry sperm)
  • Prostatitis (inflammation of the prostate ,gland that secretes the bulk of seminal fluid)
  • Infertility.

Other complications that can occur in all untreated infected individuals include:

  • Conjunctivitis
  • Proctitis (inflammation of the membrane lining of the rectum)
  • Various symptoms such as joint or eye inflammation, caused by bacterial infection (Reiter’s syndrome)
  • Inflammation in the genital area, headache (headache), fever, fatigue and swollen groin lymph nodes.

Additional resources

1. The Essential Guide to Cure Chlamydia – The secret to healing virtually every step of Chlamydia By Doctor Patric James