Box 3.2. Treatment must be initiated without waiting for the test results

A. On epidemiological grounds:

• if a recent partner has a confirmed chlamydia infection
• in the mother of a newborn with a confirmed chlamydia infection

B. In case of the following symptoms, after specimen collection for laboratory testing:

• proctitis in MSM
• mucopurulent cervicitis in women

C. If follow-up cannot be guaranteed (after specimen collection for laboratory testing)

 

Some patients should be referred immediately to secondary care:

• when first-line treatment is not available or the patient has not tolerated it in the past
• in cases of complicated chlamydia: (suspicion of) acute salpingitis or endometritis, epididymo-orchitis or prostatitis