Epididymitis and / or orchitis | Right Decisions

Right Decisions
Antimicrobial prescribing: NHS Lothian
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Sexually transmitted infections and other genital conditions
Epididymitis and / or orchitis

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

See Epididymitis and/or orchitis section in urinary tract infection.

Required Investigations

Combined Chlamydia/Gonorrhea NATT test on first pass urine (ensure correct sample container, see STI testing)

Urine for bacterial culture

Consider HIV and syphilis testing on blood

Consider mumps for patients with orchitis, contact Virology

Antimicrobial recommendations

Recommended total duration:14 days

Ofloxacin 200mg orally every 12 hours (*if manufacturer unable to supply 200mg strength, 400mg every 12 hours is acceptable).

See MHRA warning related to ofloxacin. Ofloxacin is associated with C.difficile infection.

If gonorrhoea suspected: (e.g. younger patient i.e. <35, new or multiple sexual partners, high risk sexual history, MSM, urethral discharge present)

ADD Ceftriaxone 1000mg as a single dose IM. Contact Chalmers Centre

Notes

Ensure Chlamydia/Gonorrhoea NAAT test result is reviewed.

Review urine culture results for targeted antimicrobial treatment.