93 Sexually Transmitted Infections Remain Under-Diagnosed and Under-Treated in Young Men Presenting with Acute Scrotal Pain
نویسندگان
چکیده
Abstract Introduction Epididymitis or epididymo-orchitis causing acute scrotal pain in men ≤35 years is a common presentation to primary and secondary care.Most are caused by sexually-transmitted-infections this age group. Failure identify treat STIs population may lead subfertility.We assessed our practice against British Association of Sexual Health HIV guidelines. Method Men (age ≤35) diagnosed at centre with epididymitis/epidiymo-orchitis between January2015 January2020 were included (n = 313, range 16-35). Data collected microbiological radiological reports,antimicrobial treatment prescribed documentation appropriate advice follow-up.Patients previous STI excluded. Results 53 (16.9%) patients had mid-stream urine analysed;one identified bacterial growth (e.coli).15/313 screened for c.trachomatis.228 (72.8%) ultrasound;167 (73.2%) reports suggested epididymitis.32 underwent immediate exploration;19 epididymitis,one required orchidectomy. Advice attend GU-Medicine-clinic was documented 48cases (15.3%).20 (6.4%) received optimal antibiotic management; 83 (26.5%) suitable antibiotics assuming non-gonococcal cause.210 inadequate/inappropriate antibiotics. Conclusions Management sub-optimal;most inadequately investigated most inappropriate which subfertility.Better education written patient information on risks improve outcomes population.
منابع مشابه
Knowledge about sexually transmitted infections among young Pakistani men.
Prevalence of Human Immuno-deficiency Virus (HIV) infection is still believed to be low in Pakistan. However, because of its location in South Asia and the presence of high risk group for the disease, it is likely that Pakistan would experience diffusion of HIV1. We therefore decided to cany out this study to access the understanding of young Pakistani men about sexually transmitted infections ...
متن کاملSexually transmitted infections in Iran: A literature review
Background: The global burden of sexually transmitted infections (STIs) is noticeable and important. However, most STIs are curable and all of them are preventable. In this article, we reviewed and evaluated STI prevalence, current services, existing programs, and the challenges of control and management them in Iran. Materials and Methods: The author searched literature published from 2005 ...
متن کاملsexually transmitted infections in tehran
objective: sexually transmitted infections (stis) remain a public health problem of major significance in most parts of the world. this study aimed to detect the most prevalent pathogens in patients with signs and symptoms of sti referring to a group of university clinics in tehran. materials and methods: in this cross-sectional study using randomized cluster sampling, 507 consecutive male and ...
متن کاملMain presentations of sexually transmitted infections in men.
Spontaneous discharge of fluid from the urethral meatus, usually most noticeable after holding urine overnight and often accompanied by burning discomfort during urination (dysuria), strongly indicates a sexually acquired urethral infection. Symptomatic gonorrhoea usually develops within a few days of exposure. Chlamydial infections take slightly longer. Mild infections may cause urethral disco...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2021
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znab134.364