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Chlamydia is caused by chlamydia, which is intermediate between bacteria and viruses. Chlamydia can affect the urogenital organs, respiratory tract, eyes, joints and other organs and systems, are intracellular parasites, but unlike viruses, they contain DNA and RNA. There are two main forms of chlamydia development: the elementary body, which is able to exist extracellularly, and the large reticular body, which is formed as a result of the multiplication of microorganisms by division within the host cell. Reticular bodies are not able to reproduce and are not sensitive to antibiotics. In the external environment they are not stable, at a temperature of 60 0 C after 10 minutes they lose their pathogenicity, and at 1000 C - within one minute. However, at low temperatures (-500, -700С) they retain pathogenicity up to several years; when dried in air, they can also persist for a long time. Highly sensitive to the action of 700 alcohol, 2% lysol solution, 25% hydrogen peroxide solution. A two percent solution of chloramine B has a detrimental effect on chlamydia for one minute. In non-chlorinated water at room temperature, chlamydia can last up to 5 days.

Chlamydia infection occurs through sexual contact. Possible infection of newborns during the passage of infected birth canal and intrauterine transmission. The non-genital route of transmission has no significant epidemiological significance. Infection can occur through household items and hands contaminated with secretions from the eyes or genitals.

The incubation period ranges from 5 to 30 days. The urethra is first affected, then the prostate gland, seminal vesicles, testicular appendages. Chlamydial urethritis in men occurs in more than 60% of cases after accidental sexual intercourse. Chlamydia is detected in 60-70% of patients after effective treatment of gonorrhea.
With inferior treatment, chronic pyelonephritis may develop. There are acute, subacute and chronic course of the disease.

Clinical manifestations of chlamydial urethritis in men are characterized by hyperemia and swelling of the urethral sponges, the presence of mucous membranes, mucopurulent or purulent discharge, itching and pain in the urethra, and frequent urination. If other organs are affected, there may be pain in the scrotum, perineum, anus, and in the lumbosacral region.

Diagnosis of chlamydia. The clinical manifestations of the disease are similar to inflammatory processes in gonorrhea, trichomonas, mycoplasma and other urogenital infections. In this regard, laboratory studies are leading in the diagnosis of chlamydia. For this purpose, chlamydia is determined directly in the affected cells stained by the Romanovsky-Giemsa method, in addition, there are cultural, immunofluorescence and enzyme-linked immunosorbent assays.

Treatment of chlamydia is mainly carried out with tetracycline drugs in large doses for 7-14 days. A good effect is exerted by klacid, sumamed, vilprafen, tarivid, maxaquin, used over a 10-day cycle. In chronic and complicated processes, it is advisable to prescribe immunotherapy, antioxidants, physiotherapy and local treatment.

Clinical examination of patients is carried out for three months. The first clinical and laboratory study is carried out 10-14 days after treatment and then twice a month later. Mandatory simultaneous treatment of all sexual partners is necessary!

Complications In the absence of treatment or untimely treatment, the disease can lead to disability, infertility, weakening of potency, and in women to spontaneous abortion, fetal death.
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