Featured Research

from universities, journals, and other organizations

Silver dressings: Do they work for treating chlamydia infections?

Date:
April 14, 2010
Source:
BMJ-British Medical Journal
Summary:
Urologists are failing to pick up and treat chlamydia infection in young men, say researchers in the UK.

Urologists are failing to pick up and treat Chlamydia infection in young men, say UK researchers in a letter published ahead of print in the journal Sexually Transmitted Infections.

Yet Chlamydia trachomatis is the most commonly reported sexually transmitted infection in Europe and the commonest cause of inflammation of the testicle and the epididymis (involved in sperm manufacture), a condition known as epididymo-orchitis.

If chlamdyial infection goes untreated, it can cause infertility.

Many cases of epididymo-orchitis are referred to urologists because the symptoms mimic testicular torsion, in which the spermatic cord is twisted, cutting off the blood supply to the testicle, say the authors.

But once correctly diagnosed, many young men still remain under the care of an urologist.

Yet despite clear guidelines on how to manage this condition to ensure that the infection is promptly treated, many urologists are simply ignoring the recommendations, which have been in existence for more than a decade, say the authors.

They base their findings on a survey of urology departments in five teaching hospitals in different regions of the UK, where young men with epididymo-orchitis were treated over a period of 18 months.

During this time, 204 cases were diagnosed in men under the age of 35, but in only 7% of cases (15) were first morning (void) urine or urethral samples sent for testing, as recommended. Most of these (11) tested positive for Chlamydia.

Mid-stream urine samples, which are less conclusive, were sent in 103 cases, but only 11 requests were made to test for Chlamydia, none of which tested positive.

In all, the source of the infection was picked up in only one in 10 cases.

When it came to treatment, the guidance was also largely ignored. Ciprofloxacin was prescribed in 44% of cases, despite increasing evidence of chlamydial resistance to this antibiotic.

And in almost one in three cases the course was for less than the two weeks recommended in the clinical guidelines.

A follow up appointment was made for only just over half of patients, and fewer than one in four men were instructed to attend a sexual health (GUM) clinic, as recommended.

Despite informal education updates, when the audit was repeated in two of the five centres, there was little sign of any improvement, say the authors.

"We feel this confirmed that urologists remain poor at managing epididymo-orchitis in sexually active young men, and are therefore almost certainly failing to diagnose many cases of Chlamydia and other sexually transmitted infections in exactly the group both most at risk and most likely to have multiple partners," conclude the authors.


Story Source:

The above story is based on materials provided by BMJ-British Medical Journal. Note: Materials may be edited for content and length.


Cite This Page:

BMJ-British Medical Journal. "Silver dressings: Do they work for treating chlamydia infections?." ScienceDaily. ScienceDaily, 14 April 2010. <www.sciencedaily.com/releases/2010/04/100414193818.htm>.
BMJ-British Medical Journal. (2010, April 14). Silver dressings: Do they work for treating chlamydia infections?. ScienceDaily. Retrieved April 25, 2014 from www.sciencedaily.com/releases/2010/04/100414193818.htm
BMJ-British Medical Journal. "Silver dressings: Do they work for treating chlamydia infections?." ScienceDaily. www.sciencedaily.com/releases/2010/04/100414193818.htm (accessed April 25, 2014).

Share This



More Health & Medicine News

Friday, April 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Deadly Fungus Killing Bats, Spreading in US

Deadly Fungus Killing Bats, Spreading in US

AP (Apr. 24, 2014) A disease that has killed more than six million cave-dwelling bats in the United States is on the move and wildlife biologists are worried. White Nose Syndrome, discovered in New York in 2006, has now spread to 25 states. (April 24) Video provided by AP
Powered by NewsLook.com
Companies Ramp Up Wellness to Lower Health Costs

Companies Ramp Up Wellness to Lower Health Costs

AP (Apr. 24, 2014) That little voice telling you to exercise, get in shape and get healthy is probably coming from your boss. More companies are beefing up wellness programs to try and cut down their health care costs. (April 24) Video provided by AP
Powered by NewsLook.com
Blood From World's Oldest Woman Suggests Life Limit

Blood From World's Oldest Woman Suggests Life Limit

Newsy (Apr. 24, 2014) Scientists say for the extremely elderly, their stem cells might reach a state of exhaustion. This could limit one's life span. Video provided by Newsy
Powered by NewsLook.com
FDA Wants To Ban Sales Of E-Cigarettes To Minors

FDA Wants To Ban Sales Of E-Cigarettes To Minors

Newsy (Apr. 24, 2014) The Food and Drug Administration wants to crack down on the use of e-cigarettes, banning the sale of the product to minors. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins