Chlamydia : antibiotic guidance BASHH

This table summarizes the BASHH guidelines for treating and managing chlamydia infections. It presents standard, alternative, and pregnancy-specific regimens based on the type of infection, along with recommendations for test of cure and partner notification. The guidelines emphasize evidence-backed treatments and the importance of comprehensive partner management

Type of Infection	Treatment Regimen	Notes
Urogenital	(1) Doxycycline 100mg bd for seven days	Contraindicated in pregnancy
	(2) Azithromycin 1g orally as a single dose, followed by 500mg once daily for two days
	Alternative Regimens if contraindicated:
	♦ Erythromycin 500mg bd for 10–14 days	Level IV, Grade C
	♦ Ofloxacin 200mg bd or 400mg od for seven days	Level Ib, Grade A
Pharyngeal	(1) Doxycycline 100mg bd for seven days	Contraindicated in pregnancy
	(2) Azithromycin 1g orally as a single dose, followed by 500mg once daily for two days
	Alternative Regimens if contraindicated:
	♦ Erythromycin 500mg bd for 10–14 days	Level IV, Grade C
	♦ Ofloxacin 200mg bd or 400mg od for seven days	Level Ib, Grade A
Pregnancy & Breastfeeding	Recommended Regimens:
	♦ Azithromycin 1g orally as a single dose, followed by 500mg once daily for two days	Level Ia, Grade A
	♦ Erythromycin 500mg four times daily for seven days
	♦...

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