Epididymo-orchitis

Sexual Transmission suspected or men under 35, cause unknown

Important: Therapy

See NHS Borders Sexual Health STI protocol http://www.borderssexualhealth.org.uk/for-professionals/clinical-protocols/

No suggestion of sexual transmission or men over 35, cause unknown

Important: Therapy

First line

Ofloxacin 400mg oral 12 hourly for 14 days

or

Second line

Ciprofloxacin 500mg oral 12 hourly for 10 days

CSM advice (tendon damage) see BNF

Review at 14 days. If symptoms persist, for further course of antimicrobial treatment

Epididymo-orchitis in context of urinary catheter

Important: Therapy

Amoxicillin 500mg-1g IV 8 hourly

+

Gentamicin  IV (Extended interval dosing as per guideline. Use gentamicin calculator. Max 3 days then review.

Important: Notes

All sexually active men should be tested for Chlamydia and Gonorrhoea (urine sample for NAAT testing) prior to treatment

See NHS Borders Sexual Health STI protocols for more details http://www.borderssexualhealth.org.uk/for-professionals/clinical-protocols/