Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • asymptomatic

Other diagnostic factors

  • cervical discharge
  • friable cervix
  • abnormal vaginal bleeding
  • penile discharge
  • vaginal discharge
  • dysuria
  • pelvic pain
  • fever/chills
  • nausea/vomiting
  • scrotal pain
  • myalgias
  • abdominal pain
  • mucopurulent rectal discharge or tenesmus

Risk factors

  • age under 25 years
  • new sex partner or multiple sex partners
  • sexual activity with infected partner
  • condoms not used
  • history of prior STD
  • ethnicity
  • urban residence and low socio-economic status

Diagnostic investigations

1st investigations to order

  • nucleic acid amplification test (NAAT)
Full details

Investigations to consider

  • direct immunofluorescence
  • enzyme immunoassay
  • nucleic acid hybridisation tests
  • cell culture
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Professor of Medicine

Johns Hopkins University School of Medicine

Baltimore

MD

Disclosures

AR declares that she has no competing interests.

Dr Anne Rompalo would like to gratefully acknowledge Dr Christopher K. Fairley, a previous contributor to this monograph. CKF declares that he has no competing interests.

Peer reviewers VIEW ALL

Assistant Editor

American Family Physician

Clinical Assistant Professor

GUSOM Medical Officer

US Preventive Services Task Force

Disclosures

KL declares that he has no competing interests.

Professor/Head

Department of Infectious Diseases

Aarhus University Hospital

Skejby Sygehus

Aarhus

Denmark

Disclosures

LJO has been funded by Pfizer to write a leaflet on Chlamydia infections.

Use of this content is subject to our disclaimer