<prompt> A patient with discharge per vagina was evaluated and on endocervical biopsy Chlamydia was found. Treatment to be given in this case is:Azithromycin and contact tracingMetronidazole onlyDoxycycline and metronidazoleAzithromycin  <response>: Ans. is a, i.e. Azithromycin and contact tracingRef: Harrison 18thed, pl426; Williams Gynae 1sted, 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. 