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Chlamydia in pregnancy — DFSRH MCQ

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HardSTI diagnosis and managementChlamydia in pregnancyDFSRH

A 25-year-old at 10 weeks' gestation has a positive chlamydia NAAT. She has mild discharge, no pelvic pain 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: D — Treat with pregnancy-appropriate antibiotics and arrange test of cure

Doxycycline is avoided in pregnancy, so a pregnancy-appropriate regimen such as azithromycin or amoxicillin is used depending on local guidance, with test of cure. Delaying treatment risks ascending infection and neonatal complications. Partner notification remains essential.

Reference: BASHH Chlamydia Guideline; BNF