Adult
Epididymo-orchitis
Warning
- A complete sexual history is imperative
- If sexually transmitted infection is considered, contact Oxford Sexual Health Service (01865 231231) department for notification, screening and contact tracing advice.
- Send urine or urethral swabs, rectal swabs and throat swabs for screening of chlamydia and Gonorrhoea. Use EPR ‘PID/STD/Gonorrhoea/Chlamydia/Trichomonas PCR genital samples’ Careset
- Screen for HIV and syphilis (inform patient)
- For in-patients, consult Micro/ID
-
For patient with penicillin allergy label consider penicillin allergy assessment and delabelling
Treat for 10-14 days
Preferred
Probably due to Chlamydia/Gonorrhoea:
ceftriaxone 1g IM single dose PLUS doxycycline 100mg po bd for 14 days
Most probably due to enteric organisms (usually over 35 years old):
co-trimoxazole 960mg po bd for 10 days
OR
cefalexin 1g po tds for 10 days
When mycoplasma genitalium is suspected: discuss with Sexual Health