What is the recommended treatment for a confirmed chlamydia infection?

Azithromycin is recommended as a first-line treatment for a confirmed chlamydia infection due to its efficacy and convenience. It is a macrolide antibiotic that is effective against Chlamydia trachomatis, the bacterium that causes the infection. One of the key advantages of azithromycin is that it can be administered as a single dose, which enhances patient compliance and reduces the risk of missing a follow-up appointment that might be necessary with a multi-day regimen.

While doxycycline is also an effective treatment for chlamydia, it requires a 7-day course, which may not be as convenient for some patients. Ceftriaxone is primarily used to treat gonorrhea and is not the first-line choice for chlamydia. Metronidazole is effective against bacterial vaginosis and certain parasitic infections, but it does not target chlamydia. Therefore, azithromycin remains the preferred treatment for its effectiveness, ease of administration, and benefits in promoting adherence to the treatment regimen.