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Treatment includes antibiotic therapy for infected individuals and all sexual contacts; abstinence or use of condoms during treatment and for 7 days after treatment is recommended. Azithromycin is given 1 g orally, as a single dose, or a 7-day course of oral doxycycline, 100 mg twice daily. Single- dose azithromycinis preferred if adherence to a multiple-dose, multiple-day regimen may not be feasible for the individual. Alternative regimens include a 7-day course of oral erythromycin, 500 mg four times a day; or erythromycin E, 800 mg four times daily for 7 days. Ofloxacin, 300 mg twice daily; and levofloxacin, 500 mg once daily for 7 days, are also effective alternatives.Azithromycin is the drug of choicein pregnancy. Because of the asymptomatic nature of Chlamydia and the potential sequelae of untreated infection, the CDC recommends routine annual screening for chlamydia for all sexually active women who are less than 26 yearsold. In addition, the CDC recommends that all women, regardless of age, be screened if they have a new sexual partner or their partner is not monogamous.9Pregnant women should be routinely screened for Chlamydia at least once during pregnancy.(p. 929 -930).TABLE
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