Follow-up and tests of cure
- follow-up should be offered at about 2-3 weeks after commencing treatment - this is to check adherence to treatment and risk of reinfection, and for contact tracing
- tests of cure are not routinely indicated following treatment with standard regimens, as long as partners are known to have been treated and adherence to therapy is likely
- however, in pregnancy, tests of cure are desirable
- due to higher positive chlamydia tests after treatment in pregnancy, attributed to either less efficacious treatment regime, non compliance or re-infection, it is recommended that pregnant woman must have a test of cure 5 weeks after completing therapy, 6 weeks later if given azithromycin.
- doxycycline and ofloxacin are contraindicated (1)
Reference:
- BASHH. 2006 UK National Guideline for the Management of Genital Tract Infection with Chlamydia trachomatis
- Drug and Therapeutics Bulletin (2001), 39 (4), 27-30.
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