Updated: 7/24/2019

Chlamydia (Pregnancy)

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  • 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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(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:
1

Amoxicillin

74%

(103/140)

2

Azithromycin

11%

(16/140)

3

Cefepime

4%

(6/140)

4

Doxycycline

1%

(2/140)

5

Erythromycin

6%

(8/140)

M 7 E

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