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Microscopic examination of the discharge from the urethra for chlamydia
The sample combines two types of laboratory diagnosis – smear microscopy from the urethra and its study using reaction of immunofluorescence (RIF). As you can see on the form, detachable discovered a large amount of mucus, yeast fungi of the genus Candida and elementary bodies of chlamydia, located intra - and extracellularly.
The results of the REEF confirm the contamination of the urethra urogenital chlamydia and Ureaplasma without specifying the species.
How to interpret the results obtained?
- The identification of chlamydia in the urogenital tract does not require, provided their number. These microorganisms (referring to Ch. Trachomatis) recognized the absolute pathogens and require treatment.
- Identification of ureaplasmas, requires clarification of their species and concentration. Currently, specialists are inclined to believe ureplazma members of the normal microflora when their content is less than 10^4/ml. however, in the presence of chronic urethritis, cystitis, vaginitis, infertility desired their eradication.
- The number of leukocytes within the reference values, which indicates that at the moment symptoms of inflammation of the urethra. That is, chlamydial infection, the patient has a chronic latent course.
- Upon detection of mushrooms of sort Candida should be administered antifungals in the treatment of chlamydia, as the course of antibiotic therapy may trigger the development of candidal urethritis.
In conclusion, we note that in recent years there has been a trend of using PCR as a "gold standard" diagnosis of STIs, this method allows you to set the number of copies of the genetic material of a microorganism and to plan further tactics of conducting the patient.