Treatment Options

For uncomplicated urogenital infections, the Australian STI Management Guidelines recommend:

• Doxycycline 100mg PO, BD 7 days

           OR

• Azithromycin 1g PO, stat

Please refer to the Australian STI Management Guidelines or eTG Complete Therapeutic Guidelines for further information. 

Other STI testing may be appropriate for your patient. See the RACGP Red Book Section 6.2 Sexually Transmissible Infections for risk assessment and testing recommendations.

Test of cure v/s testing for reinfection

A test of cure is not routinely recommended except for pregnant people or anorectal infections.  A test of cure should not be performed prior to 4 weeks post treatment.

A test for reinfection is recommended 3 months post treatment to detect reinfection. Click here for more information about organising a test for reinfection. 

For more information about test of cure v/s testing for reinfection, see the Australian STI Management guidelines. 

Quick tips

During the treatment consultation, advise:

• no sexual contact for seven days following treatment
• no sexual contact with partners from the past 6 months until they have been tested and treated as required

Provide the patient with information about chlamydia. Click here for a patient factsheet. 

Patients might have questions about the infection. See below for some questions and answers. 

Notification

Chlamydia is a notifiable disease in Victoria, New South Wales and Queensland. Pathology labratories have responsibility for notification in all three states. Click on your state below for further information about chlamydia notification. 

Information for Victoria | Information for New South Wales | Information for Queensland

Please note that information regarding notification is correct as of December 2019. Please check with your relevant Health Department for further updates. 

Key guidelines for chlamydia case management

For who and when to test, including risk assessment and testing for other STIs

RACGP Red Book Guidelines for Preventive Activities in General Practice (9th edition, updated 2018).

For information about the entire chlamydia case management pathway, including how to treat chlamydia 

Australian STI Management Guidelines (updated March 2018).