Pediatric Guidelines: Sexually Transmitted Infections (Adolescent) - Chlamydia

Condition Major Pathogens First Choice Therapy Alternative Therapy Comments
Chlamydia Chlamydia trachomatis Azithromycin 1g PO x 1 Doxycycline 100mg PO BID x 7 days

Sexual partners should be treated

This guideline is for uncomplicated chlamydia. If clinical findings suggest pelvic inflammatory disease, click here for PID guidelines. 

Reference: Workowski KA, Bolan GA, Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. Morbid Mortal Recom Rep 2015;64:1-138. 

These are guidelines only and not intended to replace clinical judgment. Modification of therapy may be indicated based on patient comorbidities, previous antibiotic therapy or infection history. Doses provided are usual doses but may require modification based on patient age or comorbid conditions. Refer to Pediatric Antimicrobial Dosing Guideline for further guidance on dosing in children, and Neonatal Dosing Guideline for infants < 1 month of age. Consult a pediatric pharmacist for individualized renal or hepatic dose adjustment. For additional guidance, please contact Pediatric Infectious Diseases (ID) or the Pediatric Antimicrobial Stewardship Program (ASP).