Updated: 7/24/2019

Chlamydia (Pregnancy)

Average 4.3 of 3 Ratings

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Review Topic

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Questions

Evidence

Topic

Introduction
- Chlamydia infection during preganancy can cause
  - preterm labor
  - postnatal fetal infections
  - endometritis, among others.

Evaluation
- Normal prenatal infectious disease screening panel
  - chlamydia
  - gonorrhea

Treatment
- Azithromycin for patient and partner
  - critical to treat these infections as early as possible in pregnancy
  - it is essential to treat her sexual partner as well to prevent reinfection
  - doxycycline is contraindicated in pregnancy

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20%	1	N
40%	2	H
60%	3	F	Enter (backside only)
80%	4	E
100%	5	M
Toss	0	T

Questions (1)

(M2.OB.12.75) A 26-year-old woman presents to the emergency department with vaginal discharge. She states she noticed it a few days ago and states it has been gradually worsening. The patient works at a farmer's market selling produce. Her temperature is 98.4°F (36.9°C), blood pressure is 120/74 mmHg, pulse is 83/min, respirations are 12/min, and oxygen saturation is 98% on room air. Physical exam is notable for the finding in Figure A. Laboratory testing is ordered as seen below.

Urine:
Color: Amber
Protein: Negative
Red blood cells: Negative
hCG: Positive

Which of the following is appropriate treatment for this patient?

QID: 103438

FIGURES:

Type & Select Correct Answer

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Amoxicillin

73%

(103/142)

Azithromycin

12%

(17/142)

Cefepime

(7/142)