Epididymo-orchitis
Antimicrobial prescribing: NHS Fife
Clinical features
- Pain and swelling of the epididymides and / or testes, sometimes with urethral discharge and / or symptoms of UTI
- For patients under 35y, a sexually-transmitted pathogen is most likely
- Older patients are more likely to be affected by enteric organisms
Investigation
- Urine culture
- First void urine for gonorrhoea and chlamydia PCR
Refer to Sexual Health if there is any concern about sexually-transmitted infection
Infection Control
Basic universal precautions
Treatment
35 yrs or under:
DOXYCYCLINE PO 100 mg 12 hourly
Duration: 14 days
Over 35 yrs or allergic to doxycycline:
OFLOXACIN PO 200mg 12 hourly (review MHRA Safety Advice before prescribing)
Duration: 14 days
OR
CIPROFLOXACIN PO 500mg 12 hourly (review MHRA Safety Advice before prescribing)
Duration 10 days