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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 contain DNA and RNA. There are two main forms of development of chlamydia - the elementary body, which is able to exist extracellularly, and the large reticular body, which is formed as a result of the reproduction of microorganisms by division within the host cell. Reticular bodies are not able to multiply and are not sensitive to antibiotics. In the external environment they are not stable, at a temperature of 60 0 С after 10 minutes they lose their pathogenicity, and at 1000 С - within one minute. However, at low temperatures (-500, -700С) they retain pathogenicity for up to several years, and when dried in air, they can also persist for a long time. Highly sensitive to the action of 700 alcohol, 2% solution of lysol, 25% solution of hydrogen peroxide. A two percent solution of chloramine B has a detrimental effect on chlamydia for one minute. In non-chlorinated water, chlamydia can be stored at room temperature for up to 5 days.

Infection with chlamydia occurs sexually. Infection of newborns during the passage of infected birth canal and intrauterine transmission of infection is possible. Non-sexual transmission is not significant. 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. Primarily affected urethra, then the prostate gland, seminal vesicles, epididymis. Chlamydial urethritis in men occurs in more than 60% of cases after casual sex. Chlamydia is detected in 60-70% of patients after effective treatment of gonorrhea.
With inadequate treatment may develop chronic pyelonephritis. There are acute, subacute and chronic course of the disease.

Clinical manifestations of chlamydial urethritis in men are characterized by hyperemia and edema of the urethral sponges, the presence of mucous, mucopurulent or purulent discharge, itching and pain in the urethra, and increased urge to urinate. With the defeat of other organs may be pain in the scrotum, perineum, anus, in the lumbosacral region.

Diagnosis of chlamydia. Clinical manifestations of the disease are similar to inflammatory processes in gonorrheal, trichomonas, mycoplasma and other urogenital infections. In this regard, laboratory tests 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 culture, immunofluorescence and enzyme immunoassay methods.

Chlamydia treatment is mainly carried out with tetracycline drugs in large doses for 7-14 days. Klacid, sumamed, vilprafen, tarivid, maxakvin, used during a 10 - day cycle, have a good effect. In chronic and complicated processes, it is advisable to prescribe immunotherapy, antioxidants, physiotherapy and local treatment.

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

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