Urogenital infection with Chlamydia trachomatis

Last Updated: 2019-08-26

Author(s): -

Inclusion body urethritis, urethritis type Waelsch

Urethra infection transmitted only during sexual intercourse. The pathogen is Chlamydia trachomatis.

Urogenital infection with Chlamydia trachomatis accounts for about 60% of all non-specific urethritis.

After an incubation period of 4 days - 1 month a glassy to purulent discharge appears. There are both asymptomatic forms (often in women) and patients who report severe pain when urinating.

  • Medical history
    • Sexual intercourse with changing partners (increased risk)?

    • Other STIs?

    • Burning when urinating?

    • Spout?

  • Clinical image 
  • Urethra smear (Pat. should not have been urinated 2 hours before).
      

- Always co-treatment of the partner!

 

Uncomplicated progressive form: 

  • Systemic antibiotics
  • Doxycycline® p.o. 100 mg 2x daily for 14-21 days 
  • Erythromycin® p.o. 500 mg 4x daily for 7-14 days
  • Azithromycin® p.o. 1g 1x single dose.

 

For dysuria 

  • Flavoxate
  • Urispas® 200 mg up to 4x a day
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