Manavi K, Turner K, Scott G R, Stewart L H
Department of Genito-urinary Medicine, Royal Infirmary of Edinburgh, UK.
Int J STD AIDS. 2005 May;16(5):386-7. doi: 10.1258/0956462053888853.
Epididymo-orchitis among men younger than 35 years is mainly caused by chlamydial infection. National guidelines for the management of this condition have been published. The aim of this study was to audit the management of epididymo-orchitis in a major teaching hospital. To this end we performed a retrospective study of patients with epididymo-orchitis admitted to the Department of Urology in the Western General Hospital, Edinburgh between 1998 and 2003. Case-notes of 108 cases of epididymo-orchitis were reviewed. The diagnosis was established by ultrasound in 94% of cases. Patients were not tested routinely for chlamydial infection and the majority of men younger than 35 years were treated inappropriately with ciprofloxacin. The management of patients younger than 35 years was not in accordance with the recommendations of national guidelines. Chlamydia trachomatis is sexually transmissible and is not responsive to ciprofloxacin. As a result of this audit, each patient will be tested for chlamydial infection and men younger than 35 years will be treated with ofloxacin. Sexual partners of patients with chlamydial infection will be treated in the department of genitourinary medicine.
35岁以下男性的附睾炎-睾丸炎主要由衣原体感染引起。关于这种疾病管理的国家指南已经发布。本研究的目的是审核一家大型教学医院中附睾炎-睾丸炎的管理情况。为此，我们对1998年至2003年间入住爱丁堡西部总医院泌尿外科的附睾炎-睾丸炎患者进行了一项回顾性研究。对108例附睾炎-睾丸炎病例的病历进行了审查。94%的病例通过超声确诊。患者未常规进行衣原体感染检测，大多数35岁以下男性接受了不适当的环丙沙星治疗。35岁以下患者的治疗不符合国家指南的建议。沙眼衣原体具有性传播性，对环丙沙星无反应。由于此次审核，每位患者都将接受衣原体感染检测，35岁以下男性将接受氧氟沙星治疗。衣原体感染患者的性伴侣将在泌尿生殖医学科接受治疗。
