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Chlamydia in pregnancy — DRCOG MCQ

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ModerateContraceptionChlamydia in pregnancyDRCOG

A 25-year-old woman who is 14 weeks pregnant has a positive chlamydia NAAT. She has no pelvic pain or fever and no drug allergies. Her partner has not been tested. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Treat with a pregnancy-appropriate regimen and arrange partner notification

Doxycycline is contraindicated in pregnancy, so a pregnancy-appropriate regimen such as azithromycin, erythromycin or amoxicillin is used depending on guidance and tolerance. Treatment should not be delayed because infection can cause complications and transmission. Metronidazole gel does not treat chlamydia. Partner notification is essential to prevent reinfection.

Reference: BASHH chlamydia guideline; BNF