Chlamydia Trachomatis | Right Decisions

Right Decisions
Antimicrobial prescribing: NHS Forth Valley
Primary Care Guidance
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GENITAL TRACT INFECTIONS
Chlamydia Trachomatis

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Chlamydia trachomatis

Opportunistically test those aged 15-25 years who are at risk.

Patients with symptoms, i.e. pelvic pain in women, scrotal pain or urethral discharge in men, urgently refer using the helpline number above or to the relevant service e.g urology / ED / gynaecology. Treat partners

Pregnancy or breastfeeding: azithromycin is the most effective option. (Tetracycline contra-indicated)

Due to lower cure rate in pregnancy, test for cure 4 weeks after treatment.

Rectal Chlamydia – LGV infection should be considered – discuss with sexual health

Test of cure is important in rectal Chlamydia

Drug details

First Line:

Doxycyline

100mg BD

7 days

Second Line:

Azithromycin

1G

stat

Followed by 500mg OD for 2 days

Pregnant or breastfeeding:

azithromycin

1g (off-label use)

Stat

Followed by 500mg od for 2 days

or erythromycin

500mg QDS

7 days

oramoxicillin

500mg TDS

7 days

doxycyline

(for rectal Chlamydia)

100mg BD

7 days if LGV excluded

21 days otherwise