In either sex, pharyngeal or rectal swabs may be taken if there is a history of exposure at these sites. Urine PCR or urine LCR are alternative tests. These tests are recommended for the screening of asymptomatic men. Tests on urine are not as sensitive as those performed on swabs from the urethra or cervix but may be used in screening programs for convenience.
Serology is of no value in the diagnosis of genital tract chlamydial infection .
There is evidence in the literature to support its efficacy, but there has not yet been a large amount of clinical experience. Epidemiologic treatment Epidemiologic treatment is given to sexual partners, regardless of age or gender, of persons with proven chlamydia. In all cases, appropriate investigations for chlamydia should be performed before treatment is provided. Health advice and contact tracing For most patients, the diagnosis will only be known at the second visit. Males may have been counselled for NSU or gonorrhoea.