Chlamydia Trachomatis (Chlamydia Infection)
Today, it is among the most important diseases that can be transmitted by sexual intercourse. It mostly settles in the cervix and may spread to the tubes and cause an infection in the pelvis called PID. According to the data of the World Health Organization, it is claimed that 600,000 of 1 million salpingitis cases in Europe are chlamydia and 120 000 of them result in infertility. Chlamydia can be transmitted from mother to newborn at birth and cause eye infections and pneumonia. In these children, chronic obstructive pulmonary disease may develop in the following years.
The incidence of the factor in our country is not known exactly. The low number of diagnosed cases suggests that the cases are seen less in our country or the inadequate evaluation suggests that the cases are missed.
Genital chlamydia infection in women is usually not manifest. The most common findings are discharge and dysuria (burning when urinating). The discharge in cervicitis with chlamydia has no distinctive feature. Minor bleeding between menstruation may be due to endometritis caused by chlamydia. Symptoms are milder when compared to gonococcal infections, even when progressive infection holds the tubes. Chlamydia should be suspected in patients with unilateral chronic conjunctivitis and it should be investigated whether there is a concomitant genital infection. If permanent tube damage develops as a result of salpingitis, the result is infertility, that is infertility. Infertility develops in 10% of patients after a single attack of salpingitis. This rate reaches 20% after two attacks and 50% after three attacks. Considering that Chlamydia Trachomatis is responsible for more than half of the salpingitis cases, the role of this microorganism in infertility is better understood. The risk of ectopic (external) pregnancy increases approximately 10 times after salpingitis cases.
Diseases that can be seen in chlamydia infection; Urethritis, Cervicitis, endometritis, Salpenjitis (iltaab of the tube), perihepatitis, conjunctivitis, infertility (infertility), ectopic (outside) of pregnancy, chronic pelvic pain, Postinfectious Reactive Arthritis
It is important to take cultures for diagnosis for chlamydia infections. In women, culture is taken from the cervix (cervix) and urine hole (from the urethra).
The most commonly used antibiotic in treatment is tetracyclines. Children, pregnant women and nursing mothers should be treated with macrolides (erythromycin). In uncomplicated cases, treatment should not be less than 7 days. In complicated cases, the duration is at least two weeks. Sexual intercourse is prohibited during treatment. Co-treatment is essential.