UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

Management of epididymo-orchitis in primary care: results from a large UK primary care database

Nicholson, A; Rait, G; Murray-Thomas, T; Hughes, G; Mercer, CH; Cassell, J; (2010) Management of epididymo-orchitis in primary care: results from a large UK primary care database. BRIT J GEN PRACT , 60 (579) 763 - 769. 10.3399/bjgp10X532413.

Full text not available from this repository.

Abstract

BackgroundEpididymo-orchitis is a common urological presentation in men but recent incidence data are lacking. Guidelines for management recommend detailed investigation and treatment for sexually transmitted pathogens, such as Chlamydia trachomatis. Data from secondary care indicate that these guidelines are poorly followed. It is not known how epididymo-orchitis is managed in UK general practice.AimTo estimate the incidence of cases of epididymo-orchitis seen in UK general practice, and to describe their management.Design of studyCohort study.SettingUK general practices contributing to the General Practice Research Database (GPRD).MethodMen, aged 15-60 years, consulting with a first episode of epididymo-orchitis between 30 June 2003 and 30 June 2008 were identified. All records within 28 days either side of the diagnosis date were analysed to describe the management of these cases (including location) and to compare this management with guidelines.ResultsA total of 12 615 patients with a first episode of epididymo-orchitis were identified. The incidence was highest in 2004-2005 (25/10 000) and declined in the later years of the study. Fifty-seven per cent (6943) of patients were managed entirely within general practice. Of these, over 92% received an antibiotic, with ciprofloxacin being the most common one prescribed. Only 18% received a prescription for doxycycline. Most men, including those under 35 years, had no investigation recorded and fewer than 3% had a test for chlamydia.ConclusionThese results indicate low rates of specific testing and treatment for sexually transmitted infections in males who attend general practice with symptoms of epididymo-orchitis. There is a need for further research to understand the pattern of care delivered in general practice.

Type: Article
Title: Management of epididymo-orchitis in primary care: results from a large UK primary care database
DOI: 10.3399/bjgp10X532413
Keywords: chlamydia, electronic health records, epididymitis, incidence, primary health care, ACUTE EPIDIDYMITIS, CHLAMYDIA-TRACHOMATIS, GENERAL-PRACTICE, POPULATION, MEN, PROSTATITIS, GUIDELINES, URETHRITIS, INFECTION, CLINICS
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health > Infection and Population Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: http://discovery.ucl.ac.uk/id/eprint/169500
Downloads since deposit
0Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item