Saturday, February 7, 2015

The originator. Chlamydia are obligate a group of intracellular parasites. Epidemiology. Infection

Chlamydia. | Biomedicina.com.ua
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The originator. Chlamydia are obligate a group of intracellular parasites. Epidemiology. Infection is Chlamidia trachomatis, is the second most frequently among STI. According serological monitoring of 33.8% of pregnant women in Donetsk in 2004 had a history of chlamydial infection. There is evidence of the relationship hlamidnoy infection from mother premature birth and neonatal infection. Group risk. Risk include women, their sexual life early, had many sexual partners of drug users, low social status, have STIs. Clinic Most of chlamydial infection in women are asymptomatic. Frequent symptoms - dysuria, vaginal discharge (spotting and / or menstrual bleeding in non-pregnant women). In newborn infection is most often seen in vide6: - Conjunctivitis, continuing 2-4 weeks after birth; - Pneumonia in the first 3 months of life. Diagnosis informative survey of women who are at increased risk for STIs (level of evidence III, level B recommendation) 7. Material for the study are urethral and cervical canal. As methods of diagnosis using microscopy (direct fluorescent reaction: sensitivity lumigan - 74-90%, specificity - 98-99%), the definition of antigen (ELISA, sensitivity - 71-87%, specificity - 97-99%), rapid latex ahhlyutinatsionnyy test (sensitivity lumigan - 52-85%, lumigan specificity - 95%), PCR (sensitivity - 99%, specificity - 99-100%). Determination of specific antibodies in pregnant women is not justified because women can not identify with an active infection to be treated. Treatment In accordance with WHO antibacterial treatment must be carried out immediately after isolation vozbuditelya8: - azithromycin 1 g once per os; - Erythromycin 0.5 g 4 times daily for 7 days, per os; - Amoxicillin lumigan 0.5 g 3 times a day 7 days, per os.
Prevention and information for patients - Reducing the number of sexual contacts at high risk of infection, use of barrier methods of protection. - Screening for high-risk groups, screening and treatment of infected women. - Examination and treatment partner.


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