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Important Topics

Question
79 out of 98
 

Chlamydia in pregnancy...treatment (AIPG 2010)



A Doxycycline
B Tetracycline

C Erythromyci
D Penicillin

Ans. C

Erythromycin

1. Chlamydial cervicitis is a sexually transmitted infection which is asymptomatic for about 50-70% of women infected with the disease. Of those who have an asymptomatic infection, approximately half will develop pelvic inflammatory disease.

2. PID can cause scarring inside the reproductive organs, which can later cause serious complications, including chronic pelvic pain, difficulty becoming pregnant, ectopic (tubal) pregnancy, and other dangerous complications of pregnancy.

3. Chlamydia is known as the "Silent Epidemic" because in women, it may not cause any symptoms in 75% of cases and can linger for months or years before being discovered.

4. Symptoms that may occur include: unusual lvaginal bleeding or discharge, pain in the abdomen, dyspareunia, fever, painful urination.

5. C. trachomatis infection can be effectively cured with antibiotics once it is detected. Current Centers for Disease Control guidelines provide for the following treatments:

a. Azithromycin 1 gram oral as a single dose

b. Doxycycline 100 milligrams twice daily for seven to fourteen days.

c. Tetracycline

d. Erythromycin

e. Doxycycline & Tetracycline are to avoided in pregnancy and in pregnancy erythromycin or azithromycin is the drug of choice

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