ASHM Report Back

Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.

Sexual Health Day 2 Rectal Chlamydia

Posted by on in Testing and Treatment
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Great session today on rectal Chlamydia today that will definitely change the way I practice.

Rectal Chlamydia can be difficult to treat with increased resistance to Azithromycin (1g stat dose = 86% cure)...

99% cure has been noted with Doxycycline 100mg BD for 7 days.

Question is should this change my practice?

For me the answer is perhaps..

If compliance is an issue it may be best to do 1g Azithromycin and then test for cure. Have Doxycycline in backup for failure.

In severe symptoms and/or the patient is likely to have good compliance I thing I will change to the Doxy regime, also with test for cure...



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Guest Thursday, 28 October 2021
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