nadiabarati wrote:
there is a Q in UW
about genital chlamydial infection
it asks about treatment
but explanation is so strange
it says if there is chlamydia you don't need to treat for gonorrhea also
but if you have gonorrhea you need to treat for chlamydia also!!!
but in BP it says always treat both whenever you find either one!!
in UW it says azithromycin is prefered treatment but BP says doxycycline is the prefered one and azithromycin is the second choice
another thing is: UW says we don't have ABO alloimmunization because ABO antibodies don't cross placenta
So when ABO alloimmunization happen then??!!!
The ABO alloimmunization happens when there is a damage to placentar vessels - labor, abruptio placentae, etc, ... Normally the ABO alloimmunization does not happen, you are right...
As for STD treatment... If there is an issue of possible non-compliance with the treatment, give Azi, a single shot... If the patient is compliant, give doxy - it acts on both chlam and gono
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| CocaCola
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totally agreed with justice...
also - Chlamydia infections are much more prevalent than gonnorhea... about 5times more... and they are usually silent... so a patient who comes in with gonnorhea is highly likely to have also been exposed to chlamydia... therefore treat for both...
a pt who has chlamydia doesn't doesn't necesarily have a gonnorhea infection, because gonorrhea is much less prevalent than chlamydia... so treat only the chlamydia...
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| jamdoc
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its easier to ruleout GC infection if a person only has chlamydial infection,but its difficult to ruleout chlamydial infection if a person has GC infection.so its advised that in GC its advised to treat for chlamydial infection as well. as per efficacy doxy and azitro are same,but azithro is preferred bcoz of compliance.
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