{"id":3485,"count":9,"description":"Chlamydia trachomatis je celosv\u011btov\u011b nej\u010dast\u011bj\u0161\u00ed bakteri\u00e1ln\u00ed sexu\u00e1ln\u011b p\u0159enosn\u00e1 infekce. Mnoho infekc\u00ed je asymptomatick\u00fdch \u2014 proto je d\u016fle\u017eit\u00e9 screeningov\u00e9 vy\u0161et\u0159en\u00ed \u2014 nel\u00e9\u010den\u00e1 infekce v\u0161ak u \u017een zp\u016fsobuje z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed p\u00e1nve, mimod\u011blo\u017en\u00ed t\u011bhotenstv\u00ed a neplodnost vejcovod\u016f, u mu\u017e\u016f pak epididymo-orchitidu a reaktivn\u00ed artritidu. Katalog l\u00e9\u010dby chlamydi\u00ed MedsBase obsahuje standardn\u00ed antibiotick\u00e9 re\u017eimy dod\u00e1van\u00e9 spole\u010dnost\u00ed WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong>.\n\nAzithromycin \u2014 prvn\u00ed volba v jednor\u00e1zov\u00e9 d\u00e1vce.<\/strong> Azithromycin v jednor\u00e1zov\u00e9 peror\u00e1ln\u00ed d\u00e1vce 1 g z\u016fst\u00e1v\u00e1 celosv\u011btov\u011b nejpou\u017e\u00edvan\u011bj\u0161\u00edm re\u017eimem pro nekomplikovanou genit\u00e1ln\u00ed chlamydii. Jednor\u00e1zov\u00e9 pod\u00e1n\u00ed zlep\u0161uje compliance ve srovn\u00e1n\u00ed s 7denn\u00edmi k\u00farami. Skladem jako Asitomycin 500<\/a> (dv\u011b tablety), Azilup<\/a>, a Azeetop<\/a>. Pozn\u00e1mka: Studie Geisler z roku 2018 uk\u00e1zala o n\u011bco ni\u017e\u0161\u00ed m\u00edru vyl\u00e9\u010den\u00ed ne\u017e dokcyklin u rekt\u00e1ln\u00ed chlamydie (~85 % vs ~99 %) a BASHH 2015 \/ CDC 2021 nyn\u00ed doporu\u010duje dokcyklin jako prvn\u00ed volbu pro genit\u00e1ln\u00ed, rekt\u00e1ln\u00ed a orofarynge\u00e1ln\u00ed infekce u negravidn\u00edch dosp\u011bl\u00fdch.\n\nDoxycyklin \u2014 modern\u00ed preferovan\u00fd re\u017eim.<\/strong> Doxycyklin 100 mg dvakr\u00e1t denn\u011b po dobu 7 dn\u016f je modern\u00ed prvn\u00ed volbou pro negravidn\u00ed dosp\u011bl\u00e9 \u2014 vy\u0161\u0161\u00ed m\u00edra vyl\u00e9\u010den\u00ed u rekt\u00e1ln\u00edch a farynge\u00e1ln\u00edch infekc\u00ed a d\u016fle\u017eit\u00fd pro l\u00e9\u010dbu s\u00e9rovaru LGV. Doxycyklin je uveden v na\u0161\u00ed Antibiotika<\/a> kategorii. Vyvarujte se u\u017e\u00edv\u00e1n\u00ed v t\u011bhotenstv\u00ed.\n\nCefixim \u2014 pro l\u00e9\u010dbu kapavky \/ empirickou l\u00e9\u010dbu STI.<\/strong> Mnoho pacient\u016f l\u00e9\u010den\u00fdch empiricky na chlamydie je tak\u00e9 ohro\u017eeno kapavkou \u2014 cefixim 800 mg v jedn\u00e9 peror\u00e1ln\u00ed d\u00e1vce pokr\u00fdv\u00e1 v\u011bt\u0161inu kmen\u016f kapavky a m\u016f\u017ee b\u00fdt kombinov\u00e1n s azithromycinem nebo doxycyklinem pro empirickou du\u00e1ln\u00ed l\u00e9\u010dbu. Skladem jako Neckcin 100 DT<\/a> a Neckcin 250 DT<\/a>. CDC 2021 up\u0159ednost\u0148uje IM ceftriaxon u potvrzen\u00e9 kapavky \u2014 cefixim je ur\u010den pro prost\u0159ed\u00ed s omezen\u00fdmi zdroji nebo pro pacienty preferuj\u00edc\u00ed peror\u00e1ln\u00ed pod\u00e1n\u00ed.\n\nKombina\u010dn\u00ed sady.<\/strong> The Bal\u00ed\u010dek ochrany proti STD<\/a> (azithromycin + secnidazol + flukonazol) poskytuje \u0161irokospektr\u00e1ln\u00ed pokryt\u00ed pro situace, kdy je laboratorn\u00ed testov\u00e1n\u00ed zpo\u017ed\u011bno nebo nedostupn\u00e9. L\u00e9k\u00e1rni\u010dka prvn\u00ed pomoci<\/a> je \u0161ir\u0161\u00ed bal\u00ed\u010dek akutn\u00ed p\u00e9\u010de.\n\nJak pou\u017e\u00edvat.<\/strong> Potvrzen\u00e9 chlamydie \u2192 doxycyklin 100 mg 2\u00d7 denn\u011b po dobu 7 dn\u016f (preferov\u00e1no) nebo azithromycin 1 g v jedn\u00e9 d\u00e1vce (alternativa). T\u011bhotenstv\u00ed \u2192 azithromycin 1 g v jedn\u00e9 d\u00e1vce (doxycyklin kontraindikov\u00e1n). Rekt\u00e1ln\u00ed chlamydie \u2192 doxycyklin 100 mg 2\u00d7 denn\u011b po dobu 7 dn\u016f povinn\u011b (azithromycin v\u00fdrazn\u011b m\u00e9n\u011b \u00fa\u010dinn\u00fd). LGV \u2192 doxycyklin 100 mg 2\u00d7 denn\u011b po dobu 21 dn\u016f. Test vyl\u00e9\u010den\u00ed doporu\u010den za 4 t\u00fddny u t\u011bhotenstv\u00ed \/ p\u0159etrv\u00e1vaj\u00edc\u00edch p\u0159\u00edznak\u016f \/ podez\u0159en\u00ed na reinfekci.\n\nD\u016fle\u017eit\u00e9.<\/strong> Ideally, confirm chlamydia by NAAT (nucleic acid amplification test) before treating \u2014 empiric treatment without testing misses co-infections (gonorrhoea, syphilis, HIV) and treats wrong-cause urethritis with no benefit. Notify recent sexual partners (last 6 months for symptomatic patients, last 60 days for asymptomatic) so they can be tested and treated. No sex (or condom-only) for 7 days after single-dose treatment or until 7-day doxycycline course completed AND partners treated. Repeat NAAT testing at 3 months is recommended even after successful treatment because of high reinfection rates. Symptoms of pelvic inflammatory disease (lower abdominal pain, fever, deep dyspareunia, abnormal bleeding) need same-day medical assessment.\n\nAll MedsBase Chlamydia Treatment products ship from WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a jsou kryty na\u0161\u00ed Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/chlamydia-treatment\/","name":"L\u00e9\u010dba chlamydi\u00ed","slug":"chlamydia-treatment","taxonomy":"product_cat","parent":3337,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3485","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3337"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}