Description
Chlamydia trachomatis infection of the genital tract affects up to 12% of women accessing the obstetric and gynaecology services. In 80% of cases the infection will be asymptomatic. Ascending infection occurs in up to 40% of cases, and this is facilitated by uterine instrumentation, for example at the time of termination of pregnancy. The resulting tubal damage accounts for a substantial proportion of the reproductive morbidity in this country; 43% of ectopic pregnancies occur as the result of chlamydial infection. Chlamydia is diagnosed by genital swabs or urine testing, and is treated with a short
course of antibiotics, usually doxycycline or azithromycin. Partner notification and concurrent treatment and adequate follow up are essential aspects of managing this infection.
