What Is Involved in a Chlamydia Diagnosis?

Overview

Chlamydia positive

Overview

Laboratory tests for chlamydia infection

1.

In some studies abroad, Chlamydia trachomatis has been isolated from 11% of asymptomatic soldiers, 11% of asymptomatic men in urban emergency departments and 7% of asymptomatic college students. Chlamydia trachomatis (CT) in pregnant women in rural American populations

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1. Pathogenic mechanism

So, what if chlamydia is positive in the outpatient examination? You may wish to refer to the following countermeasures to avoid unnecessary panic and over-treatment and to treat related diseases in time.

Case 1: Simply from

Chlamydia false-positive is actually that the patient has actually been treated with the bacteria in the body after receiving the relevant treatment, but the test result still shows positive. This kind of positivity is either due to improper examination time or due to mis-examination, which does not truly reflect the patient's condition and treatment, so it is considered a chlamydia false positive.

In the case of chlamydia-positive treatment, there have been too many false-positive cases of mycoplasma. After taking oral erythromycin or treating with a lotion containing PHMB bactericidal ingredients for several courses of treatment, the symptoms have completely disappeared, but went to the hospital for examination As a result, it still showed "positive", and there may be "negative" reports after re-examination. In short, the patients were confused, and they were not sure whether the chlamydia was cured.

One of the more typical examples is that a patient has followed up for four times within a month after the symptoms of traditional Chinese medicine have disappeared after several courses of treatment. The result is two positives and two negatives. This is a typical false positive. !!

After the chlamydia positive is cured, some patients may have a false positive reaction within 3-6 months, which is misleading because of the test results. Such patients usually check 3-6 months later to confirm the diagnosis of negative.

The key is that after treatment, the symptoms of inflammation have disappeared, and even if there is a false positive of chlamydia, it must go through that period of false positive reaction.

A special case that needs to be mentioned is that the chlamydia test turns negative, but the symptoms still partially exist. This may be that the toxins secreted by chlamydia when it invades the body have damaged the body, and the damaged body is destroyed by chlamydia. After that, there is still no cause for recovery, and the patient need not be too alarmed.

Chlamydia is resistant to drugs acting on the cell wall, such as penicillins, vancomycin, bacitracin, and sensitive to drugs that inhibit membrane and cytosolic protein synthesis, such as tetracycline and erythromycin.

The first treatment regimen is tetracycline, 500 mg of tetracycline 4 times daily for 7 days, or doxycycline 100 mg twice daily for 7 days. For patients whose tetracycline is disabled or poorly tolerated, a solution containing PHMB bactericidal ingredients can be used 2 times a day for 7 consecutive days. In addition, newly developed

Except for gonococcal urethritis caused by gonococcus, which is gonorrhea, other cases of urethritis can be collectively referred to as "non-gonococcal urethritis". There are many pathogens that cause non-gonococcal urethritis. Mycoplasma and chlamydia are just one of them. Others are E. Coli, meningococcus, and other microorganisms (adenovirus, staphylococcus, urealytic bacteria) (4) Mycoplasma genitalium, (5) Primary genital herpes simplex virus, (6) Trichomonas vaginalis, and so on.

Even if mycoplasma and chlamydia are positive in the urethra, they are not all patients: Epidemiological investigations show that 34% of normal men can isolate U. urealyticum. In some foreign studies, 11% of asymptomatic soldiers, 11% Chlamydia trachomatis was isolated from asymptomatic men in the urban emergency department and 7% of asymptomatic college students. According to "Journal of Fujian Medical University", 1999, Vol. 33, No. 2 data: 273 asymptomatic women in Fuzhou area were cultured for Uu (Ureaplasma urealyticum) culture in genital tract, 132 were positive, and the positive rate was 48.35%. In studies on pregnant women: the colonization rate of Ureaplasma urealyticum (UU) in the lower reproductive tract of pregnant women can be as high as 50 to 80%. The prevalence of chlamydia trachomatis (CT) in pregnant women in the rural population in the United States is 9.0%; the rate of CT infection in pregnant women with low economic income is 10.1% in Mexico; the rate of CT infection in pregnant women is 2.9% in Vestsjaelland, Denmark; %; While in Martinique, France, the CT infection rate of pregnant women was 26.7%. The prevalence of CT infection among pregnant women in different parts of the world may be related to the different testing reagents, methods and time in different places.

Seeing the above figures, everyone should know that normal people can have Mycoplasma and Chlamydia parasites. If all mycoplasma and chlamydia are found to require treatment, then according to the above statistics, more than 30% of men and more than 40% of women need treatment. This is hundreds of millions of people.

Some netizens said that if you don't need treatment, does it mean holding a bomb beside you, because these microorganisms may become ill at any time, why not remove it from the body before it becomes ill?

In fact, our body and living environment are full of microorganisms. If you have studied Microbiology, you will know that there are a large number of microbial parasites in the human body, many of which are pathogenic microorganisms. But why are many people healthy and normal?

This is related to human self-resistance and immunity. It is also related to the "flora balance" formed by microorganisms parasitizing in the human body.

We have a very good immune system. They protect the body from various microorganisms and maintain our health. Even a small number of highly pathogenic micro-organisms (severe infectious diseases), not everyone will develop the disease after infection. This is that under normal circumstances, only a few people living in the same environment will get sick. Often, they will have a decline in physical fitness at the same time, and their resistance will be low. In the sexual disorder group, because they often have a high frequency of sexual intercourse, the sexual organs are congested for a long time. This makes their sexual organs less resistant to pathogens, and they are more prone to mycoplasma and chlamydia infections and non-gonococcal urethritis than normal people.

Of course it would be great if it could be "cleared from the body before it becomes ill", but in most cases this is not possible. It can be said that various microorganisms parasitic on the human body are accompanied by human life. Mycoplasma and chlamydia can be parasitic in normal people. They and many other parasitic microorganisms restrict each other (striving for the 'resources' of the parasitic environment) to achieve a balance, so that the number of each other is controlled without affecting the human body. This is what is called "bacteria balance" in medicine. If antibiotics are abused, the original "bacterial flora balance" is disrupted. Instead, there will be a sharp increase in the number of certain microorganisms, leading to other infections. In some hospitals, antibiotic abuse occurs from time to time due to factors such as interest or level of expertise. But a doctor with professional knowledge and ethics should not do so.

If symptoms occur, you must go to a regular hospital for treatment; but if you do not have any symptoms, you do not need treatment. These so-called "treatments" often only increase your psychological burden and increase your unnecessary expenses. It is even more unfortunate that it will destroy the original "bacterial flora balance" in your body and cause various problems.

It is still practical and ideal to carry out appropriate physical exercise to maintain one's physical health and improve one's disease resistance.

Chlamydia infection site

Among the pathogenic mycoplasma, mycoplasma pneumoniae has pneumonia, and mycoplasma humani, mycoplasma urealyticum, and mycoplasma genitalium are mainly urogenital infections. Chlamydia infections can cause eye, urogenital, respiratory, nervous, joint, placental, and systemic infections.

Mycoplasma and chlamydia infections can cause endometritis, salpingitis, ovarian inflammation, spontaneous abortion, and stillbirth, etc., and affect fertility, leading to female infertility. After mycoplasma transurethral infection, patients may show symptoms of urethral inflammation. Women can see cervical and vestibular glands, causing urethritis, cervicitis and vestibular glandular inflammation.