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Co-existing STI and Testicular Cancer — SCE Infectious Diseases MCQ

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HardSTIsCo-existing STI and Testicular CancerSCE Infectious Diseases

A non-pregnant patient completed doxycycline for uncomplicated chlamydia, is asymptomatic and reports no re-exposure. What follow-up testing strategy is appropriate?

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Correct answer: E — Avoid immediate NAAT and offer repeat testing at about 3 months

The best answer is “Avoid immediate NAAT and offer repeat testing at about 3 months”. Routine immediate test of cure is not required after correctly treated uncomplicated chlamydia in a non-pregnant patient, and early NAAT can detect residual nucleic acid. Repeat testing at roughly 3 months addresses the substantial reinfection risk, while symptoms, pregnancy, adherence concern or ongoing exposure change the pathway.

Reference: BASHH chlamydia guideline: https://www.bashh.org/resources/15/guidelines_chlamydia_2015/