Antimicrobial prescribing: NHS Forth Valley
HIV testing is recommended if suspected/confirmed sexually transmitted infection
Doxycycline is now recommended as first line treatment for uncomplicated urogenital, pharyngeal and rectal chlamydia infections. Doxycycline should be used unless there is a clear contraindication.
Test of cure taken >3 weeks after completion of treatment is recommended in diagnosed rectal chlamydia and pregnant women.
Good sample collection technique improves sensitivity. Consider referral to Central Sexual Health for all patients with confirmed/suspected chlamydia. Current partners may need epidemiological treatment.
Drug details
First Line:
Doxycyline
100mg BD
7 days
Pregnancy or doxycycline not
appropriate e.g. allergy:
Azithromycin
1g as a single dose,
followed by 500mg once daily for two days
i.e. 3 days total treatment