What monitoring is needed during and after treatment for chlamydial genitourinary infections (chlamydia)?

Updated: Sep 25, 2018
  • Author: Shahab Qureshi, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Patients with PID should be rechecked in 1-2 days to look for signs of clinical improvement. All patients treated for chlamydial infection should receive follow-up care with a primary care provider to reduce the risk of further infection and to screen for cervical cancer.

Test for chlamydial cure is not strictly necessary unless the patient thinks he or she may have been reinfected. However, follow-up at 3-4 weeks to repeat the examination and test for cure is advised because recurrent or persistent cases can lead to infertility. Retesting before 3-4 weeks may lead to a false-positive result on nonculture tests as a result of the shedding of dead organisms.

Perform partner testing and treatment to prevent reinfection.


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