Chlamydia Screening and CDC Treatment Recommendations

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Chlamydia Screening Recommendations

During routine health care contacts, assess for infection with chlamydia women who:

  • are sexually active and 25 years of age or younger,

  • have new or multiple sexual partners, regardless of age,

  • have a history of sexually transmitted disease within the last year, regardless of age,

  • have partners who have had multiple partners within the last year, regardless of age.

Test all pregnant women at least once, regardless of age, including those who plan to terminate the pregnancy.

Re-screen all women who tested positive, especially adolescents, 3-4 months after treatment due to the high incidence of re-infection.

Note: The above recommendations are general guidelines based on national statistics. The prevalence of chlamydia in the immediate geographical area may warrant more or less aggressive screening activities and resources. Contact Candy Hadsall, RN, MA, STD Screening Specialist at 651-201-4015.

CDC Chlamydia Treatment Recommendations
Adolescents and Adults
Pregnancy
Recommended regimens
Alternative regimens
Recommended regimens
Alternative regimens
Azithromycin 1gm PO x 1 Erythromycin base 500 mg PO QID x 7D Azithromycin 1gm PO x 1 See CDC STD Treatment Guidelines
OR
Doxycycline 100mg PO BID x 7D		 OR
Erythromycin ethylsuccinate 800mg PO QID x 7D 		OR
Erythromycin base 500 mg PO QID x 7D
No “test of cure” OR
Ofloxacin 300mg PO BID x 7D		 OR
Amoxicillin 500mg PO TID x 7D
OR
Levofloxacin 500mg PO x 7D 		Test of cure in 3-4 weeks after completion of treatment
No “test of cure”

The following medical and public health organizations endorse chlamydia screening of women (according to the 2003 American Journal of Preventive Medicine, Volume 24, Number 3).

  • American Medical Association
  • American Academy of Pediatrics
  • American College of Obstetricians and Gynecologists
  • American Social Health Association
  • Centers for Disease Control and Prevention
  • National Committee for Quality Assurance, which monitors chlamydia screening nationally (HEDIS)
  • U.S. Preventive Services

Additional STD treatment information is available at: http://www.cdc.gov/STD/treatment

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Updated Tuesday, 03-May-2011 11:31:30 CDT