Other common STIs
Chlamydia
(Chlamydia trachomatis)
Prevalence
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Chlamydia is one of the most prevalent and curable STIs caused by Chlamydia trachomatis.
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Chlamydia accounted for 34% of new STIs globally in 2016, with approximately 127 million new Chlamydia infections from an estimated 376 million STIs worldwide.
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Chlamydia is the most commonly reported STI in Australia, with people aged between 15-29 years old accounting for up to 73% of infections (in 2017).
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Chlamydia is the most common STI in the USA, nearly 3 million cases occurring every year.
Health effects
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Chlamydia is frequently asymptomatic, with approximately 50% of males and 70% of female infections not experiencing any noticeable symptoms.
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In women, Chlamydia may cause chronic pelvic pain, pelvic inflammatory disease, and infertility.
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In men, it may cause pain during urination, milky discharge, and inflammation of the testicles.
Resistance and treatment
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Chlamydia is susceptible to common antibiotics; however, there are some rare cases of antibiotic resistance.
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The recommended treatment of chlamydia is an oral dose of doxycycline or azithromycin, with a test of cure typically 2 weeks after treatment.
Syphilis
(Treponema pallidum)
Prevalence
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Syphilis is a common STI that’s spread through sexual intercourse or skin contact with a genital ulcer or chancre (painless skin ulcer).
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There were an estimated 6.3 million cases of syphilis in 2016, as reported by the World Health Organization.
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Syphilis can be passed on from an infected mother to a developing baby.
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In 2016, 988,000 pregnant women were infected with Syphilis, causing more than 350,000 adverse births and 200,000 stillbirths and newborn deaths.
Health effects
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Syphilis infections can be one of three stages, primary, secondary, or tertiary depending on how long a person has been infected with syphilis.
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Primary syphilis is generally associated with one or more sores (ulcers) around the place of infection (i.e. genitals, cervix, mouth, anus).
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Symptoms of secondary syphilis include: skin rash, swollen lymph nodes, and a fever. Often primary and secondary symptoms are mild and may go unnoticed.
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Tertiary (latent) syphilis often occurs many years after the initial untreated infection. Symptoms can be severe, these include damage to the heart, eyes, nerves, brain, liver, spinal cord, bones, birth related problems, and can result in fatality.
Resistance and treatment
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Syphilis can be treated with an injection of benzathine penicillin. The length of antibiotic treatment depends on the extent of the infection (i.e. primary, secondary or tertiary).
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Treatment of syphilis can cure the infection; however, damage associated with the infection many not be cured (e.g. skin rash, damage to organs etc.).
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Syphilis resistance to certain antibiotics (i.e. macrolides) is increasingly common (>50% in Australia). This is particularly problematic for people that are allergic to penicillin.