This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Sexually Transmitted Disease in the Female, Subject name: Gynaecology & Obstetrics
[{'content': 'A patient with discharge per vagina was evaluated and on endocervical biopsy Chlamydia was found. Treatment to be given in this case is: \nSelect and explain. \nA. Azithromycin and contact tracing, B. Metronidazole only, C. Doxycycline and metronidazole, D. Azithromycin', 'role': 'user'}, {'content': "Answer: A \nExplanation: Ans. is a, i.e. Azithromycin and contact tracingRef: Harrison 18th/ed, pl426; William's Gynae 1st/ed, p66; Current diagnosis and treatment of sexually transmitted diseases p 81Management of ChlamydiaUncomplicated chlamydia can be treated with Tetracycline (500mg 4 times daily), Doxycycline (1000mg twice daily), Erythromycin (500mg 4 times daily), Fluoroquinolone -ofloxacin 300mg twice daily, or Azithromycin -single dose - 1gDrug of choice is Azithromycin lg single dose.Advantages of Azithromycin are* Single dose regimen - 1g stat dose (It is as effective as 7 days of doxycycline treatment).* Better patient compliance.* Fewer gastrointestinal side effects.Disadvantage:* High cost of azithromycin.Contact tracing:* Patients with asymptomatic infection and their sex partners form a major burden of chlamydial infection so, contact tracing should always be done (wherever possible).Alternative to azithromycin is doxycycline 100mg orally twice a day for 7 days.", 'role': 'assistant'}]