Management of epididymo-orchitis in Genitourinary Medicine clinics in the United Kingdom's North Thames region 2000

A questionnaire survey and case notes audit reviewing management of epididymo-orchitis (E-O) by 34 Genitourinary Medicine (GUM) clinics located in the North Thames was undertaken. Twenty-two clinics (65%) returned completed questionnaires and audited a total of 83 newly diagnosed cases. All particip...

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Bibliographic Details
Published in:International journal of STD & AIDS 2001-05, Vol.12 (5), p.342-345
Main Authors: DALE, A. W. S, WILSON, J. D, FORSTER, G. E, DANIELS, D, BROOK, M. G
Format: Article
Language:English
Subjects:
Adult
AIDS/HIV
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Chlamydia Infections - diagnosis
Chlamydia trachomatis
Disease Management
Gonorrhea - diagnosis
Health Facilities
Human bacterial diseases
Humans
Infectious diseases
Male
Medical Audit - trends
Medical sciences
Middle Aged
Neisseria gonorrhoeae
Orchitis - diagnosis
Orchitis - therapy
Practice Patterns, Physicians' - trends
Retrospective Studies
Surveys and Questionnaires
United Kingdom
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Summary:A questionnaire survey and case notes audit reviewing management of epididymo-orchitis (E-O) by 34 Genitourinary Medicine (GUM) clinics located in the North Thames was undertaken. Twenty-two clinics (65%) returned completed questionnaires and audited a total of 83 newly diagnosed cases. All participating clinics offer microscopy of urethral smears and screening for Neisseria gonorrhoeae and Chlamydia trachomatis to all patients, regardless of age. However, greater numbers of clinics would offer routine microbiology of mid-stream urine (MSU) samples (20/22, 91% versus 16/22, 73%) and scrotal ultrasound (5/22, 23% versus 1/22, 5%) to patients aged over 35, compared with men under 35. Half of the cases audited were due either to sexually transmitted infections (STIs) (41/83, 49%), or associated with ascending urinary tract infections (4/83, 5%). No obvious infectious cause was identified for 38/83 cases (46%). Reported management was appropriate for the causative conditions diagnosed and accorded with the UK National Guidelines for this and related conditions.
ISSN:0956-4624
1758-1052
DOI:10.1258/0956462011923066