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 August 2, 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 August 2, 2014).

Share This




More Health & Medicine News

Saturday, August 2, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Texas Quintuplets Head Home

Texas Quintuplets Head Home

Reuters - US Online Video (Aug. 1, 2014) After four months in the hospital, the first quintuplets to be born at Baylor University Medical Center head home. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Ebola Patient Coming to U.S. for Treatment

Ebola Patient Coming to U.S. for Treatment

Reuters - US Online Video (Aug. 1, 2014) A U.S. aid worker infected with Ebola while working in West Africa will be treated in a high security ward at Emory University in Atlanta. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Ebola Vaccine Might Be Coming, But Where's It Been?

Ebola Vaccine Might Be Coming, But Where's It Been?

Newsy (Aug. 1, 2014) Health officials are working to fast-track a vaccine — the West-African Ebola outbreak has killed more than 700. But why didn't we already have one? Video provided by Newsy
Powered by NewsLook.com
Study Links Certain Birth Control Pills To Breast Cancer

Study Links Certain Birth Control Pills To Breast Cancer

Newsy (Aug. 1, 2014) Previous studies have made the link between birth control and breast cancer, but the latest makes the link to high-estrogen oral contraceptives. 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