Primary prevention

High-risk patients should be counseled on safer sex behaviors such as the use of condoms.

Information should be collected on any person who has had sexual contact with a diagnosed patient within the previous 60 days.[4] Counseling should be given about avoiding unprotected sex, and the risk of reinfection with chlamydia and other STIs. Screening for common coinfections such as Neisseria gonorrhoeae should be routinely performed. Counseling and testing for HIV infection should also generally be done.[4]

Secondary prevention

Chlamydia infection retesting should take place 3 to 4 months after treatment to identify those who have been reinfected. Testing for a cure is not recommended except during pregnancy. In pregnant women, retest at 3-4 weeks after treatment, and again within 3 months.[4]

All sexual contacts within the past 60 days should be advised to seek investigation and treatment for chlamydia. [ Cochrane Clinical Answers logo ] At the very least, the index case should notify sexual contacts that they may have been exposed to chlamydia. In some US states the law permits expedited partner therapy (EPT), which is the practice of treating the sex partners of persons with sexually transmitted infections (STIs) without an intervening medical evaluation or professional prevention counseling.[27] CDC: expedited partner therapy external link opens in a new window This may be considered as an option to facilitate partner management among heterosexual men and women with chlamydia infection. The American College of Obstetricians and Gynecologists has issued a statement supporting EPT in the management of chlamydial and gonorrhea infections when the partner is unlikely or unable to otherwise receive in-person evaluation and appropriate treatment.[28]

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