Rapid Review: Chlamydia Cervicitis

Reviewed January 2024

Chlamydia Cervicitis

• Diagnosis is made by nucleic acid amplification testing (NAAT)
• Most commonly caused by Chlamydia trachomatis
• Treatment is doxycycline (100 mg BID x 7 days), azithromycin should be used in pregnancy
• Reinfection testing after treatment:
  • Nonpregnant: three months after treatment or at the first visit in the 12 months after treatment
  • Pregnant: four weeks after treatment
• Most commonly reported sexually transmitted disease in the United States
• Consider empirically treat for concomitant gonorrhea if high risk
• The USPSTF recommends routine screening for chlamydia and gonorrhea in sexually active women < 25 years of age and in women age ≥ 25 years who are at increased risk