Chlamydia treatment

Advisory Alert

July 24, 2020

*Cette information est seulement disponible en anglais.

To: Local Health System Partners

FOR IMMEDIATE ATTENTION: Chlamydia treatment

Are you treating chlamydia according to current guidance?

Rates of chlamydia continue to rise and in Ontario, chlamydia remains the most frequently reported infectious disease. Treatment and management of all confirmed and probable cases of Chlamydia trachomatis is key.

The Canadian Guidelines of Sexually Transmitted Infections (CGSTI) offers both pathogen-specific and syndrome-specific recommendations for the screening, diagnosis, and treatment of sexually transmitted infections. The CGSTI recommends treating anogenital and conjunctival chlamydia in non-pregnant and non-lactating adults with doxycycline 100 mg PO BID for seven days or azithromycin 1 g PO in a single dose. However, health care practitioners are guided by the context and their clinical judgment when deciding on the appropriate treatment for a given infection. Azithromycin is preferred over doxycycline (in combination with ceftriaxone) when gonorrhea co-infection is suspected or confirmed, due to significant rates of tetracycline-resistant gonorrhea.

Health care providers are referred to the Canadian Guidelines on Sexually Transmitted Infections- Management and treatment of specific infections-Chlamydia and LGV. to determine the most appropriate evidence based treatment for patients.

Diagnosis and laboratory

Who to screen



As per the guidelines, all non-pregnant and non-lactating individuals.

Preferred treatment

Alternative treatment

As per the guidelines, patients nine (9) to 18 years.

Preferred treatment

Alternative treatment

*Refer to the treatment section of the CGSTI for recommendations for pregnant or lactating individuals

Test of cure is recommended when:

Additional resources:

  1. Summary of Recommendations for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Syphilis
  2. Discussing sexual health, harm reduction and STBBIs: A guide for service providers (CPHA)

Publicly funded medications

Publicly funded medications for the treatment of chlamydia or other sexually transmitted infections are available to health care providers by contacting the Public Health Sudbury & Districts’ Sexual Health Program at 705.522.9200, ext. 482. Alternatively, cases and contacts may be referred to the Sexual Health Clinic located in the Sudbury Elm Place (formerly the Rainbow Centre) for free treatment. The Sexual Health Program can also be contacted for specific questions related to chlamydia testing and treatment.

Chlamydia is a reportable disease under the Health Protection and Promotion Act. Chlamydia cases and their sexual contacts must be reported to Public Health Sudbury & Districts, as must any suspected or confirmed chlamydia treatment failures.

Thank you and please do not hesitate to contact our Sexual Health Program staff should you have any questions or comments.

Original Signed By
Dr. Penny Sutcliffe
Medical Officer of Health and Chief Executive Officer

Note: all Advisory Alerts are found on our website.

This item was last modified on July 24, 2020