Chlamydia

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Annual screening for chlamydia is recommended of all sexually active women aged <25 years.

Chlamydia is commonly asymptomatic and screening programs can reduce rates of pelvic inflammatory disease. Treatment is with a single dose of 1g of azithromycin or seven days of doxycycline. Alternatives include Ofloxacin, Levofloxacin or Erythromycin.

References:

Workowski KA, Bolan GA; Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015 Jun 5;64(RR-03):1-137. PMID: 26042815



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Most dental abscess are caused by streptococci (especially viridans) and anaerobic bacteria.

Odontogenic infections can be caused by a variety of organisms including: Anaerobes (e.g. Bacteroides, Prevotella, Peptostreptococcus) and Aerobic bacteria (S Viridans, S Aureus, Coagulase negative staphylococcus, Corynebacterium, Pseudomonas)

Penicillin, Amoxicillin with or without Clavulanic acid and Clindamycin are options for antimicrobial therapy along with referral for dentist for incision and drainage.

References:

Bahl R, Sandhu S, Singh K, Sahai N, Gupta M. Odontogenic infections: Microbiology and management. Contemp Clin Dent. 2014 Jul;5(3):307-11. PMID: 25191064

Bradly JS (ed.) (2018) Nelson's Pediatric Antimicrobial Therapy 24th edition. Itasca, IL:American Academy of Pediatrics