Rapid Review: Chlamydia Cervicitis

July 31, 2017

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

By Yehuda Wolf, MPA, PA-C

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