Mesh : Anti-Bacterial Agents / administration & dosage Epididymitis / diagnosis drug therapy etiology Humans Male Mumps / complications Orchitis / diagnosis drug therapy etiology Sexually Transmitted Diseases / diagnosis therapy Tuberculosis / complications United Kingdom

来  源:   DOI:10.1258/ijsa.2011.011023   PDF(Sci-hub)

Abstract:
The BASHH UK guideline for the management of epididymo-orchitis has been updated in 2010. Consideration should be made of the changing potential aetiologies of epididymo-orchitis - mumps in non-immune individuals and tuberculosis in the immunocompromised and men from countries of high prevalence. The treatment of sexually acquired epididymo-orchitis has changed given the high levels of quinolone-resistant gonorrhoea such that ceftriaxone and doxycycline are recommended in those at high risk of gonorrhoea and doxycycline or ofloxacin in those patients where gonorrhoea is considered unlikely (negative microscopy for Gram-negative intracellular diplococci and no risk factors for gonorrhoea identified). A clinical care pathway has also been produced to simplify the management of epididymo-orchitis.
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