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Infecciones por clamidia en mujeres - Treatment

Tratamiento:

La clamidia se puede tratar con una variedad de antibióticos que incluyen azitromicina, eritromicina, tetraciclinas y quinolonas. La eritromicina y la azitromicina son seguras para mujeres embarazadas.

Los dos compañeros sexuales deben ser tratados para prevenir la transmisión de la infección recíprocamente entre ellos, aunque ambos puedan no tener síntomas.

Dado que la gonorrea se presenta a menudo junto con la clamidia, el tratamiento para la primera con frecuencia se da al mismo tiempo.

Expectativas (pronóstico):

El tratamiento con antibióticos generalmente es efectivo. La infección se puede volver a presentar si usted no toma el medicamento de acuerdo con las instrucciones o si su pareja sexual no recibe tratamiento.

Complicaciones:

Las infecciones por clamidia en las mujeres pueden conducir a la inflamación del cuello uterino.

Una infección por clamidia sin tratamiento se puede diseminar al útero o a las trompas de Falopio, causando salpingitis o enfermedad inflamatoria pélvica. Estas afecciones pueden llevar a la infertilidad y aumentar el riesgo de embarazo ectópico.

Si una mujer tiene clamidia mientras está embarazada, esto puede llevar a una infección en el útero después del parto (endometritis posparto tardía). Además, el bebé puede desarrollar conjuntivitis (infección ocular) relacionada con clamidia y neumonía.

Situaciones que requieren asistencia médica:

Solicite una cita con el médico si se presentan síntomas de clamidia.

  • Reviewed last on: 6/7/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Stamm WE, Batteiger BE. Chlamydiatrachomatis (trachoma, perinatal infections, lymphogranuloma venereum, and other genital infections). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 180.

U.S. Preventive Services Task Force. Screening for chlamydial infection: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2007;147:128-134.

Centers for Disease Control and Prevention. Workowski KA, Berman SM. Diseases characterized by urethritis and cervicitis. Sexually transmitted diseases treatment guidelines MMWR. 2006;55:35-49.

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