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Uncomplicated chlamydia — DFSRH MCQ

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EasySTIsUncomplicated chlamydiaDFSRH

A 22-year-old woman has a positive vulvovaginal NAAT for chlamydia after screening. She is not pregnant, has no pelvic pain and has no tetracycline contraindication. What is the most appropriate management?

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Correct answer: B — Doxycycline 100 mg twice daily for 7 days

Doxycycline 100 mg twice daily for 7 days is first-line for uncomplicated chlamydia when not pregnant. Azithromycin may be used in selected circumstances but is no longer first-line for typical cases. Partner notification and abstinence advice are also required.

Reference: BASHH Guidelines; NICE CKS; UKHSA STI guidance; BNF