Chlamydia Test Results: Acute Negative but Positive Infection - Urology

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The Chlamydia test for acute infection is negative, but the test for Chlamydia infection is positive?


The laboratory indicated that the test showed a positive result for chlamydia infection, but the acute column for chlamydia was negative.
Does this mean that I am not currently infectious to others? However, I noticed that the lab only provided these two categories (acute and non-acute).
Isn't there another test to determine if I am contagious?

~~, 20~29 year old female. Ask Date: 2015/11/23

Dr. Xu Weikai reply Urology


Hello, if you're unsure, you can inquire about the differences between acute and non-acute conditions at the testing laboratory.
For information on transmissibility, you can check the Centers for Disease Control website.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/23

More Info


Understanding Chlamydia test results can be quite confusing, especially when you receive mixed results regarding acute and non-acute infections. In your case, the test indicates a positive result for Chlamydia infection, but the acute section shows negative. This situation can be interpreted in several ways.

Firstly, it's important to understand what these results mean. A positive Chlamydia test generally indicates that you have been infected with the bacteria Chlamydia trachomatis. This infection can be asymptomatic, meaning you might not show any symptoms, but it is still present in your system and can be transmitted to others. The acute section of the test typically assesses whether there is a current, active infection. A negative result in this section suggests that there may not be a recent or active infection at the time of testing.

However, it is crucial to note that the presence of a positive result in the overall test indicates that you have been infected at some point, and it may not necessarily mean that you are currently infectious. In some cases, if the infection has been treated or if it is in a latent state, the acute test may return negative while the overall test remains positive.
Regarding your concern about transmission, if you have a positive Chlamydia test, it is advisable to consider yourself potentially infectious, especially if you have not received treatment yet. Chlamydia is primarily transmitted through sexual contact, and even if you are not showing symptoms, you can still pass the infection to sexual partners.
In terms of testing for transmissibility, the standard tests for Chlamydia do not typically include a specific measure for whether you are currently infectious. Instead, they focus on detecting the presence of the bacteria. If you are concerned about your ability to transmit the infection, it is best to consult with your healthcare provider. They may recommend treatment, which usually involves antibiotics, and after completing the treatment, follow-up testing may be necessary to confirm that the infection has been cleared.

In summary, while your acute test result is negative, the positive result indicates that you have had a Chlamydia infection. It is essential to discuss your results with a healthcare professional who can provide personalized advice based on your medical history and current health status. They can guide you on the appropriate next steps, including treatment options and recommendations for informing sexual partners. Remember, open communication with partners and safe sex practices are crucial in managing sexually transmitted infections.

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