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Elle touche les hommes comme les femmes et peut entra卯ner de graves complications. [...]" /> <meta property="og:url" content="https://www.sida-info-service.org/chlamydia-chlamidiose-chlamydiae/" /> <meta property="og:site_name" content="Sida Info Service" /> <meta property="article:tag" content="chlamydia" /> <meta property="article:tag" content="chlamydiae" /> <meta property="article:tag" content="IST" /> <meta property="article:section" content="Les Infections Sexuellement Transmissibles (IST)" /> <meta property="article:published_time" content="2017-03-28T08:00:00+00:00" /> <meta property="article:modified_time" content="2024-02-05T08:53:03+00:00" /> <meta property="og:updated_time" content="2024-02-05T08:53:03+00:00" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:description" content="L鈥檌nfection 脿 Chlamydia Trachomatis, due 脿 une bact茅rie, est extr锚mement r茅pandue, en particulier chez les moins de 25 ans. Elle peut se d茅velopper en l鈥檃bsence de tout sympt么me. Elle touche les hommes comme les femmes et peut entra卯ner de graves complications. 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typeof="ListItem"><a property="item" typeof="WebPage" title="Se rendre 脿 la cat茅gorie Questions fr茅quentes IST." href="https://www.sida-info-service.org/categorie/questions-frequentes/foire-aux-questions-ist/" class="taxonomy category"><span property="name">Questions fr茅quentes IST</span></a><meta property="position" content="3"></span> > <span property="itemListElement" typeof="ListItem"><span property="name">Les chlamydiae, c鈥檈st quoi ?</span><meta property="position" content="4"></span> </div> <div class="col-md-8 col-sx-12"> <div class="content_global"> <article id="post-4118" class="post-4118 post type-post status-publish format-standard hentry category-les-infections-sexuellement-transmissibles-ist category-foire-aux-questions-ist tag-chlamydia tag-chlamydiae tag-ist"> <header class="entry-header"> <div class="barre_action pull-right">  </div> <div class="entry-footer"> <div class="col-md-12 no-padding article-header"> <div class="col-md-4 col-sm-12 col-sx-12 text-left no-padding-left publish"><span>Publi茅 le : </span>28 mars 2017</div> <div class="col-md-4 col-sm-12 col-sx-12 text-left update-for"><span>Mise 脿 jour le : </span> 5 f茅vrier 2024 </div> <div class="col-md-4 col-sm-12 col-sx-12 text-right action_size no-padding-right"> <ul> <li> <a href="#" onclick="changeFontSize(1);return false;" title="Agrandir les caract猫res">A+</a> </li> <li> <a href="#" onclick="changeFontSize(-1);return false;" title="R茅tr茅cir les caract猫res">A-</a> </li> <li> <a href="#" onclick="resetFontSize(); return false;" title="Taille normale des caract猫res">A</a> </li> </ul> </div> </div> <div class="tagged text-center"> <a href="https://www.sida-info-service.org/tag/chlamydia/" rel="tag">chlamydia</a> <a href="https://www.sida-info-service.org/tag/chlamydiae/" rel="tag">chlamydiae</a> <a href="https://www.sida-info-service.org/tag/ist/" rel="tag">IST</a> </div> </div> <h1 class="entry-title">Les chlamydiae, c鈥檈st quoi ?</h1>  </header> <div class="entry-content"> <div class="picture_une"> </div> <div id="pl-4118" class="panel-layout" ><div id="pg-4118-0" class="panel-grid panel-no-style" ><div id="pgc-4118-0-0" class="panel-grid-cell" ><div id="panel-4118-0-0-0" class="so-panel widget widget_sow-editor panel-first-child panel-last-child" data-index="0" ><div class="so-widget-sow-editor so-widget-sow-editor-base" > <div class="siteorigin-widget-tinymce textwidget"> <p>L鈥檌nfection 脿 <em>Chlamydia Trachomatis, </em>due 脿 une bact茅rie, est extr锚mement r茅pandue, en particulier chez les moins de 25 ans.</p> <p>Elle peut se d茅velopper en l鈥檃bsence de tout sympt么me. Elle touche les hommes comme les femmes et peut entra卯ner de graves complications.</p> <p>C鈥檈st l鈥檜ne des premi猫res causes de st茅rilit茅 en France. Son diagnostic est souvent tardif et survient parfois au-del脿 du d茅lai d鈥檌ncubation.</p> </div> </div></div></div></div><div id="pg-4118-1" class="panel-grid panel-no-style" ><div id="pgc-4118-1-0" class="panel-grid-cell" ><div id="panel-4118-1-0-0" class="so-panel widget widget_ink-accordion panel-first-child" data-index="1" ><div class="so-widget-ink-accordion so-widget-ink-accordion-accordion-dfdad024ead4-4118" > <div class="iw-so-accordion-plain iw-so-accordion iw-so-acc-singleExpand"> <div class="iw-so-acc-item" id="toggle-1-1"> <a href="#" class="iw-so-acc-title iw-text-left"> Transmission <span class="iw-so-tgl-open"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> <span class="iw-so-tgl-close"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> </a> <div class="iw-so-acc-content"> <p>Les <em>chlamydiae</em> se transmettent聽:</p> <ul> <li>Par p茅n茅tration vaginale ou anale, fellation et plus rarement par le cunnilingus,</li> </ul> <ul> <li>Par transmission m猫re-enfant lors de l鈥檃ccouchement (occasionnant des conjonctivites et des pneumopathies tardives).</li> </ul> <p>En 2022, la proportion d'infections 脿 <em>chlamydia</em> a augment茅 de 16 % par rapport 脿 2020, avec 102 cas pour 100 000 habitants.</p> <p>En 2022, le taux d鈥檌ncidence a 茅t茅 le plus 茅lev茅 en Guyane. Le taux a 茅t茅茅lev茅茅galement dans les autres d茅partements et r茅gions d'outre-mer (DROM) 脿 l鈥檈xception de Mayotte, en Ile-de-France, en PACA et en Occitanie.</p> </div> </div> </div> </div></div><div id="panel-4118-1-0-1" class="so-panel widget widget_ink-accordion" data-index="2" ><div class="panel-widget-style panel-widget-style-for-4118-1-0-1" ><div class="so-widget-ink-accordion so-widget-ink-accordion-accordion-dfdad024ead4-4118" > <div class="iw-so-accordion-plain iw-so-accordion iw-so-acc-singleExpand"> <div class="iw-so-acc-item" id="toggle-2-1"> <a href="#" class="iw-so-acc-title iw-text-left"> Sympt么mes <span class="iw-so-tgl-open"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> <span class="iw-so-tgl-close"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> </a> <div class="iw-so-acc-content"> <p>La contamination passe inaper莽ue chez 60 脿 70% des femmes. Les sympt么mes n'apparaissent ensuite que chez 6% des femmes et 11% des hommes. Cette absence de sympt么mes a souvent pour cons茅quence une d茅couverte tardive de l鈥檌nfection.</p> <p>Les sympt么mes suivants peuvent appara卯tre :</p> <p><strong>Chez la femme聽</strong>:</p> <ul> <li>Des pertes,</li> <li>Des douleurs du bas ventre (pelviennes),</li> <li>Des douleurs urinaires, avec un col ut茅rin irrit茅 saignant au contact,</li> <li>Des infections pharyng茅es transitoires souvent sans sympt么mes.</li> </ul> <p>La complication majeure chez la femme est la salpingite (inflammation d鈥檜ne ou des 2 trompes ut茅rines) dont les cons茅quences sont la st茅rilit茅 tubaire et les grossesses extra-ut茅rines.</p> <p>Les sympt么mes de la salpingite sont essentiellement聽:</p> <ul> <li>Des douleurs du bas ventre (douleurs pelviennes) qui peuvent 锚tre aigu毛s ou chroniques, permanentes ou intermittentes ou se limiter 脿 une sensation d茅sagr茅able ou de lourdeur localis茅e dans le bas ventre. Les douleurs sont g茅n茅ralement augment茅es par les rapports sexuels,</li> <li>Une fi猫vre discr猫te,</li> <li>Des pertes vaginales inhabituelles ou malodorantes.</li> </ul> <p><strong>Chez l鈥檋omme</strong> :</p> <ul> <li>Ur茅trite. Les sympt么mes apparaissent de 2 脿 14 jours apr猫s le contact infectant : 茅coulement avec prurit ou douleur/inconfort urinaire parfois intermittent. L鈥櫭ヽoulement est surtout matinal, pas tr猫s limpide (mais beaucoup moins purulent que dans une gonococcie) avec 茅ventuellement des br没lures urinaires.</li> <li>Infections anorectales fr茅quemment asymptomatiques et parfois accompagn茅es de prurit (d茅mangeaisons), t茅nesme (fausses envies et envie constante d鈥檃ller 脿 la selle ou d鈥檜riner) et 茅coulement.</li> <li>Infections pharyng茅es transitoires souvent asymptomatiques.</li> </ul> </div> </div> </div> </div></div></div><div id="panel-4118-1-0-2" class="so-panel widget widget_ink-accordion" data-index="3" ><div class="so-widget-ink-accordion so-widget-ink-accordion-accordion-dfdad024ead4-4118" > <div class="iw-so-accordion-plain iw-so-accordion iw-so-acc-singleExpand"> <div class="iw-so-acc-item" id="toggle-3-1"> <a href="#" class="iw-so-acc-title iw-text-left"> D茅pistage <span class="iw-so-tgl-open"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> <span class="iw-so-tgl-close"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> </a> <div class="iw-so-acc-content"> <p>Le diagnostic de r茅f茅rence aujourd鈥檋ui repose sur la biologie mol茅culaire par <em>PCR</em>.</p> <p>La s茅rologie (prise de sang) est inutile en d茅pistage.</p> <p><strong>Chez l鈥檋omme</strong> :</p> <ul> <li>Ayant une ur茅trite : PCR sur l鈥櫭ヽoulement ou le 1<sup>er</sup> jet d鈥檜rine au moins 1 heure apr猫s la derni猫re miction,</li> <li>Asymptomatique : PCR sur le 1<sup>er</sup> jet d鈥檜rine.</li> </ul> <p><strong>Chez la femme</strong> :</p> <ul> <li>Ayant une cervicite (inflammation du col) : PCR sur 茅couvillon par pr茅l猫vement 脿 l鈥檈ndocol (partie int茅rieure du col) associ茅e au mieux aux pourtours du m茅at ur茅tral (ou par auto-pr茅l猫vement vulvo-vaginal),</li> <li>Asymptomatique : PCR sur 茅couvillon par auto-pr茅l猫vement endo-vaginal.</li> </ul> <p>Homme/Femme聽: PCR sur 茅couvillon par pr茅l猫vement 脿 l鈥檃nus et au pharynx.</p> </div> </div> </div> </div></div><div id="panel-4118-1-0-3" class="so-panel widget widget_ink-accordion panel-last-child" data-index="4" ><div class="so-widget-ink-accordion so-widget-ink-accordion-accordion-dfdad024ead4-4118" > <div class="iw-so-accordion-plain iw-so-accordion iw-so-acc-singleExpand"> <div class="iw-so-acc-item" id="toggle-4-1"> <a href="#" class="iw-so-acc-title iw-text-left"> Traitement <span class="iw-so-tgl-open"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> <span class="iw-so-tgl-close"><span class="sow-icon-fontawesome sow-fas" data-sow-icon="" style="font-size: 2em; color: right" aria-hidden="true"></span></span> </a> <div class="iw-so-acc-content"> <p>Les <em>chlamydiae</em> sont trait茅es par des antibiotiques聽: <em>Doxycycline</em> voie orale ou <em>Azithromycine</em> voie orale.</p> <p>La personne n鈥檈st plus contaminante une semaine apr猫s la fin du traitement.</p> <p>Le traitement syst茅matique des partenaires des deux derniers mois est fortement recommand茅.</p> </div> </div> </div> </div></div></div></div></div> </div> </article> <nav class="navigation post-navigation" role="navigation"> <h2 class="screen-reader-text">Navigation de l鈥檃rticle</h2> <div class="nav-links"><div class="nav-previous"><a href="https://www.sida-info-service.org/blennorragie-gonococcie-chaude/" rel="prev">La gonococcie, c鈥檈st quoi ?</a></div><div class="nav-next"><a href="https://www.sida-info-service.org/risque-sang-sida-vih/" rel="next">J’ai re莽u du sang sur la main. 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