190.2 📚 國考版

190.2.0.1 必背 — Serotypes

• A-C: trachoma
• D-K: genital + neonatal
• L1-L3: LGV

190.2.0.2 必背 — Treatment Update 2021

• Doxycycline 100 bid × 7d preferred (superior to azithromycin in rectal infection)
• Azithromycin 1 g × 1 alt (pregnancy)
• LGV: doxy × 21d

190.2.0.3 必背 — Neonatal Forms

• Inclusion conjunctivitis (5-12d) — mucopurulent, milder than gonococcal
• Pneumonia (2-12 wk) — staccato cough, afebrile, eosinophilia
• Treatment: erythromycin 14d

190.2.0.4 必背 — Complications

• PID → infertility, ectopic, chronic pelvic pain
• Fitz-Hugh-Curtis: perihepatitis
• Reactive arthritis: HLA-B27 (Reiter)
• LGV: groove sign, MSM proctitis

190.2.0.5 必背 — Trachoma SAFE

• Surgery + Antibiotic (azithromycin) + Facial cleanliness + Environment
• WHO global elimination 2030

190.2.0.6 必背 — Co-screen

• HIV, syphilis, gonorrhea, HBV
• Partner treat
• Re-screen 3 mo

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