Which is the first-line treatment recommended by BASHH for uncomplicated genital chlamydia in a non-pregnant adult?
Answer and explanation
Correct answer: C. Doxycycline for 7 days
- Step 1: Chlamydia trachomatis is an obligate intracellular bacterium, so the drug must penetrate cells. Step 2. Doxycycline for a week is preferred to single-dose azithromycin because of higher cure rates, especially for rectal infection. Answer: Doxycycline for 7 days. Why not the others: Metronidazole treats trichomonas and anaerobic infections. Fluconazole treats candida. Penicillins have no activity against intracellular chlamydia.
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