Street E, Joyce A, Wilson J
Princess Royal Community Health Centre, Huddersfield, UK.
Int J STD AIDS. 2011 Jul;22(7):361-5. doi: 10.1258/ijsa.2011.011023.
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.
英国性健康和艾滋病协会（BASHH）关于附睾炎-睾丸炎管理的指南于2010年进行了更新。应考虑附睾炎-睾丸炎潜在病因的变化——非免疫个体中的腮腺炎、免疫功能低下者以及来自高流行国家的男性中的结核病。鉴于耐喹诺酮淋病的高发生率，性传播附睾炎-睾丸炎的治疗方法有所改变，因此对于淋病高风险人群，推荐使用头孢曲松和多西环素；对于淋病可能性不大的患者（革兰氏阴性细胞内双球菌显微镜检查阴性且未发现淋病风险因素），推荐使用多西环素或氧氟沙星。还制定了临床护理路径以简化附睾炎-睾丸炎的管理。
