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READ BELOW- Treatment plan based on one of the three di2erentials discussed in Part 1 The treatment plan based on the diagnosis of chlamydia can be provider specific. Regarding diagnostic testing, the provider can go ahead and test for other sexually transmitted infections, particularly gonorrhea. Both gonorrhea and chlamydia typically come together in many patients. Therefore, the provider may want to go ahead and co-treat both infections before either becomes complicated. Appropriate diagnostic tests and expected results The most preferred diagnostic tool is a nucleic acid amplification test (NAAT). For those who have the infection, the result would be positive, which is expected for someone who presents with clinical symptoms of chlamydia. A urine chlamydial test can also be useful and will be positive in the presence of infection. Medications and nonpharmacologic treatments The first line pharmacological treatment for chlamydia is doxycycline 100mg orally twice a day for seven days; this is best for patients with an uncomplicated infection. Alternative medication management is levofloxacin, and azithromycin is a safe choice for pregnant patients. Azithromycin may be a better choice for those who may not be compliant with medications due to the option of only having one dose versus treatment for seven days. According to Apato et al. (2024), there is a significant problem with non-compliance for patients taking the seven-course doxycycline in comparison to the one dose of azithromycin. Nonpharmacological management includes abstaining from sexual activity until the full course of treatment is completed. For those with pelvic pain, warm compresses and NSAIDs can help alleviate discomfort. Suggested consults/referrals This diagnosis can be treated in the primary clinical setting; therefore, a referral or consult is not recommended at this time. Client education Education should include that chlamydia is a sexually transmitted infection that is only transmitted through sexual contact. Risk factors include several diPerent intimate partners, history of previous STIs, and lack of barrier methods during contact such as condoms. It is highly encouraged to finish the prescribed antibiotics to clear out the infection and come back after completion of treatment to have a test of cure. Immediately discontinue the medication and report to the ED if experiencing any of the following symptoms after initiation of treatment: diPiculty breathing, excessive drooling, facial or throat swelling. The test of cure is to confirm that the individual does not have the infection anymore. Also, it is important to have their partners tested and treated to reduce the spread. If left untreated in females, this infection can cause infertility issues due to the pathophysiology and the permanent damage to the reproductive organs causing scar tissue. During treatment, it is important to rest and hydrate as the body is trying to recover. Providers should promote a healthy hygiene regimen to keep the genital area clean and avoid scented or harsh soaps. Follow-up Patients should follow-up at least three months after completion of treatment to perform the test of cure. Individuals should follow-up sooner if any of the following occur: pain during urination, rectal bleeding/pain, abnormal discharge. For females, worsening pelvic pain or abnormal bleeding. For males, testicular pain or swelling noted. INSTRUCTIONS BELOW-

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