{"id":3485,"count":9,"description":"Chlamydia trachomatis este cea mai frecvent\u0103 infec\u021bie bacterian\u0103 cu transmitere sexual\u0103 la nivel global. Multe infec\u021bii sunt asimptomatice \u2014 ceea ce face screening-ul important \u2014 dar infec\u021bia netratat\u0103 provoac\u0103 boala inflamatorie pelvin\u0103, sarcin\u0103 ectopic\u0103 \u0219i infertilitate tubar\u0103 la femei, \u0219i epididimo-orhit\u0103 \u0219i artrit\u0103 reactiv\u0103 la b\u0103rba\u021bi. Catalogul de tratament pentru Chlamydia de la MedsBase include regimurile antibiotice standard, furnizate de produc\u0103tori certifica\u021bi WHO-GMP<\/strong>.\n\nAzitromicina \u2014 op\u021biunea de prim\u0103 inten\u021bie cu doz\u0103 unic\u0103.<\/strong> Azitromicina 1 g doz\u0103 oral\u0103 unic\u0103 r\u0103m\u00e2ne cel mai utilizat regim la nivel mondial pentru chlamydia genital\u0103 necomplicat\u0103. Convenien\u021ba dozei unice \u00eembun\u0103t\u0103\u021be\u0219te conformitatea \u00een compara\u021bie cu cursurile de 7 zile. Disponibil\u0103 sub form\u0103 de Asitomycin 500<\/a> (dou\u0103 comprimate), Azilup<\/a>, \u0219i Azeetop<\/a>. Not\u0103: Studiul Geisler din 2018 a ar\u0103tat rate de vindecare u\u0219or mai sc\u0103zute dec\u00e2t doxiciclina pentru chlamydia rectal\u0103 (~85% vs ~99%), iar BASHH 2015 \/ CDC 2021 recomand\u0103 acum doxiciclina ca prim\u0103 linie pentru infec\u021biile genitale, rectale \u0219i orofaringiene la adul\u021bii negravizi.\n\nDoxiciclin\u0103 \u2014 regim modern preferat.<\/strong> Doxiciclin\u0103 100 mg de dou\u0103 ori pe zi timp de 7 zile este tratamentul de prim\u0103 inten\u021bie pentru adul\u021bii non-gravizi \u2014 rate mai mari de vindecare pentru infec\u021bii rectale \u0219i faringiene \u0219i important pentru tratamentul serovarului LGV. Doxiciclina este catalogat\u0103 \u00een Antibiotice<\/a> categoria noastr\u0103. Evita\u021bi \u00een timpul sarcinii.\n\nCefixim \u2014 pentru acoperire gonoreic\u0103 \/ tratament empiric al ITS.<\/strong> Mul\u021bi pacien\u021bi trata\u021bi empiric pentru clamidie sunt \u0219i \u00een risc pentru gonoree \u2014 cefixim 800 mg doz\u0103 unic\u0103 oral\u0103 acoper\u0103 majoritatea tulpinilor de gonoree \u0219i poate fi combinat cu azitromicina sau doxiciclina pentru tratament dual empiric. Stocat ca Neckcin 100 DT<\/a> \u0219i Neckcin 250 DT<\/a>. CDC 2021 prefer\u0103 ceftriaxona IM pentru gonoreea confirmat\u0103 \u2014 cefiximul este pentru contexte cu resurse limitate sau preferin\u021be orale.\n\nKituri combinate.<\/strong> Numele Pachet Protec\u021bie IST<\/a> (azitromicina + secnidazol + fluconazol) ofer\u0103 acoperire cu spectru larg pentru situa\u021biile \u00een care testele de laborator sunt \u00eent\u00e2rziate sau indisponibile. Trus\u0103 medical\u0103 de urgen\u021b\u0103<\/a> este un pachet mai larg de \u00eengrijire acut\u0103.\n\nInsomnia acut\u0103 pe termen scurt (jet lag, doliu, stres tranzitoriu) \u2014 melatonina 1\u20133 mg cu 30\u201360 de minute \u00eenainte de culcare timp de 1\u20132 s\u0103pt\u0103m\u00e2ni. Tulburarea de faz\u0103 de somn \u00eent\u00e2rziat\u0103 (\u00een special la adolescen\u021bi \u0219i lucr\u0103torii \u00een schimburi) \u2014 melatonina 0,5\u20131 mg luat\u0103 cu 4\u20136 ore \u00eenainte de momentul dorit de adormire. Insomnia cronic\u0103 (mai mult de 3 luni) \u2014 terapia cognitiv-comportamental\u0103 pentru insomnie (CBT-I) este de prim\u0103 inten\u021bie; op\u021biuni farmacologice pentru cazuri selectate sub supraveghere medical\u0103.<\/strong> Clamidia confirmat\u0103 \u2192 doxiciclin\u0103 100 mg de 2 ori\/zi \u00d7 7 zile (preferat) sau azitromicin\u0103 1 g doz\u0103 unic\u0103 (alternativ\u0103). Sarcin\u0103 \u2192 azitromicin\u0103 1 g doz\u0103 unic\u0103 (doxiciclina contraindicat\u0103). Clamidia rectal\u0103 \u2192 doxiciclin\u0103 100 mg de 2 ori\/zi \u00d7 7 zile obligatoriu (azitromicin\u0103 substan\u021bial mai pu\u021bin eficient\u0103). LGV \u2192 doxiciclin\u0103 100 mg de 2 ori\/zi \u00d7 21 de zile. Test de vindecare recomandat la 4 s\u0103pt\u0103m\u00e2ni pentru sarcin\u0103 \/ simptome persistente \/ suspiciune de reinfec\u021bie.\n\nImportant.<\/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 produc\u0103tori certifica\u021bi WHO-GMP<\/strong> cu ambalaj discret \u0219i sunt acoperite de Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.","link":"https:\/\/medsbase.com\/ro\/chlamydia-treatment\/","name":"Tratament pentru clamidioz\u0103","slug":"chlamydia-treatment","taxonomy":"product_cat","parent":3337,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3485","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3337"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}