Management of acute epididymitis: Are European guidelines being followed?

被引：17

作者：

Drury, NE ^{[1
]}

Dyer, JP ^{[1
]}

Breitenfeldt, N ^{[1
]}

Adamson, AS ^{[1
]}

Harrison, GSM ^{[1
]}

机构：

[1] Royal Hampshire Cty Hosp, Dept Urol, Winchester SO22 5DG, Hants, England

来源：

EUROPEAN UROLOGY | 2004年 / 46卷 / 04期

关键词：

epididymitis; chlamydia; contact-tracing;

D O I：

10.1016/j.eururo.2004.04.017

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: Acute epididymitis is increasing in men aged 35 years or under due to sexually-transmitted Chlamydia trachomatis. This study examines whether Urological surgeons are following European guidelines for the management of acute epididymitis in these patients. Methods: A postal questionnaire survey was conducted of specialists in Urology in two regions of the UK. Results: Of 79 completed replies, 41 (52%) take a detailed sexual history but only 34 (43%) refer patients to a Genitourinary medicine clinic. Quinolones are the most commonly prescribed first-line antibiotic by 56 (71%) respondents, principally ciprofloxacin. Conclusions: The current management of acute epididymitis in young men must be improved. Ciprofloxacin is not the optimal antimicrobial for the treatment of urogenital chlamydial infection. We recommend that all such patients be referred to local Genitourinary medicine services for contact-tracing and treatment of their sexual partners. (C) 2004 Elsevier B.V. All rights reserved.

引用

页码：522 / 525

页数：4

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