In cervicitis during pregnancy, which organism is azithromycin commonly used to treat?

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Multiple Choice

In cervicitis during pregnancy, which organism is azithromycin commonly used to treat?

Explanation:
Chlamydia trachomatis is the organism commonly treated with azithromycin in cervicitis during pregnancy. This is an intracellular bacterium, and azithromycin penetrates cells well, making a single-dose regimen effective. It’s also considered safe in pregnancy, which is why it’s preferred over doxycycline, which is contraindicated in pregnancy due to effects on fetal bones and teeth. Other organisms listed are treated with different drugs (gonorrhea with cephalosporins, trichomonas and bacterial vaginosis with metronidazole), so the scenario most consistent with azithromycin use in pregnancy is chlamydial cervicitis.

Chlamydia trachomatis is the organism commonly treated with azithromycin in cervicitis during pregnancy. This is an intracellular bacterium, and azithromycin penetrates cells well, making a single-dose regimen effective. It’s also considered safe in pregnancy, which is why it’s preferred over doxycycline, which is contraindicated in pregnancy due to effects on fetal bones and teeth. Other organisms listed are treated with different drugs (gonorrhea with cephalosporins, trichomonas and bacterial vaginosis with metronidazole), so the scenario most consistent with azithromycin use in pregnancy is chlamydial cervicitis.

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