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Reproductive Physiology, Endocrinology, and Infertility

Question
31 out of 56
 

A young female presented with vaginal discharge. Endocervical biopsy revealed chlamydial antigen. Treatment given should be



A Doxycycline + metronidazole

B Azithromycin + contact tracing

C Fluconazole + Azithromycin

D Ampicillin + Probenecid

Ans. B

Azithromycin + contact tracing

1. Azithromycin is highly active against C. trachomatis exhibits prolonged bio availability is concentrated intracellularly and has offered the prospect of single dose therapy for chlamydial infection for the first time

a. The single dose regimen of azithromycin has great appeal for the treatment of patients with uncomplicated chlamydial infection (especially those without symptoms, and those with a like hood poor compliance)

b. Erythromycin is the regimen of choice for pregnant women alternatively the amoxicillin

2. Contact tracing - Patient with asymptomatic infection and their sex partners from the major burden of chlamydial infection contact tracing should always be undertaken if possible in these individuals

3. First choice of drugs are - doxycycline or Erythromycin Alternative Ofloxacin or azithromycin

Reproductive Physiology, Endocrinology, and Infertility Flashcard List

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