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Partner Notification Chlamydia — SCE Infectious Diseases MCQ

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EasySTIsPartner Notification ChlamydiaSCE Infectious Diseases

A 35-year-old man presents with acute scrotal pain and swelling. Doppler ultrasound shows increased blood flow to the left epididymis (confirming epididymitis, not torsion). He is MSM. NAAT is positive for Chlamydia trachomatis. In addition to Doxycycline 100 mg BD for 14 days, what must be arranged?

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Correct answer: E — Partner notification — sexual contacts within the last 4 weeks (or last partner if longer) must be traced, tested, and treated

Partner notification (PN) is mandatory for all STI diagnoses including Chlamydia. For Chlamydia, BASHH recommends notifying: all sexual contacts in the 4 weeks before symptom onset (or 6 months if asymptomatic) or the last sexual partner if longer. PN aims to break the chain of transmission, detect asymptomatic infection in contacts, and prevent re-infection of the index patient. Accelerated partner therapy (providing treatment for the partner without requiring them to attend clinic first) is used in some settings.

Reference: BASHH 2018 – Chlamydia; BASHH 2020 – Epididymo-orchitis; NICE CKS 2024