Urogenital chlamydia

One of the most frequent infections, which is transmitted sexually, is urogenital chlamydia. In recent years, there is a tendency to increase the incidence of this disease. Degeneration of clinical symptoms, the emergence of resistant strains to antibiotics, social factors, which include increasing the number of extramarital sex relations, population migration determine the prevalence of this infection.

Chlamydia can lead to infertility, inflammatory diseases, localized in the small pelvis, conjunctivitis.

Infection can take place in acute and chronic form. The latter is determined by the prescription of the disease, which in this case exceeds two months.

Urogenital chlamydia is also distinguished by localization. According to this classification, an infection of the lower and upper part of the genitourinary system, the pelvic organs is isolated.

Urogenital chlamydia has polymorphic clinical symptoms. For this disease is characterized by the absence of specific signs, a long course that is characterized by a low symptom, a tendency to relapse. Usually, patients turn to venereologists for complications. The acute form of the disease occurs when other infectious agents are attached.

Urogenital chlamydia affects the mucous membrane of the urethra. It proceeds asymptomatically, however, serous-purulent discharge from the genital tract may appear. Attachment of urethritis to the underlying disease is characterized by itching and purulent discharge from the urethra. When the infectious process spreads, salpingitis, salpingo-oophoritis, pelvioperitonitis occur. The outcome of the disease is adhesive processes in the area of the uterine appendages, which increase the risk of ectopic pregnancy and infertility.

Extragenital chlamydiosis includes Reiter's disease, which is characterized by a triad of symptoms: urethritis, conjunctivitis, arthritis.

To diagnose the disease in women, a vaginal examination using mirrors and colposcopy is used, which can reveal such signs as discharge from the cervical canal of mucopurulent nature, mucosal edema and hyperemia around the external throat, small pseudo-erosions. Determined soreness and swelling of the appendages of the uterus, symptoms of irritation of the peritoneum. The adhesions between the parietal peritoneum and the liver also refer to the indirect signs of chlamydial infection. They are characteristic for Fitz-Hugh-Curtis syndrome (perihepatitis).

Laboratory diagnosis of the disease includes the definition of the pathogen, its antigens, which is carried out after taking smears from the urethra, cervical canal, conjunctiva. More sensitive are methods of immune analysis and immunofluorescence, for which labeled monoclonal antibodies are used . However, the most accurate is the sowing of the obtained crops on nutrient media.

Urogenital chlamydia is treated according to the principle of an integrated approach. Survey before therapy is subject not only to the patient, but all of his sexual partners.

The main drugs that are used for treatment are antibiotics: azithromycin, doxycycline, erythromycin, ofloxacin, roxithromycin, lomefloxacin.

The duration of therapy in the absence of complications is three weeks. During pregnancy, the following antibiotics are used: erythromycin, spiramycin, azithromycin, amoxicillin. The drugs of other pharmacological groups that are used for this disease include interferon, vitamins, antioxidants.

After treatment of chlamydia , control laboratory tests should be conducted. For the purpose of prevention, it is necessary to exclude any casual sex.