Professional Documents
Culture Documents
Repeat Treatment
AND
AND
Condom use
Urethritis
If a male has the following symptoms test and treat during
initial consult:
Urethral discharge
Initiate treatment
Azithromycin 1g as a single dose
AND
AND
Epididymo-orchitis
2 Hep B testing is not needed if Hep B immune (cAb positive and sAg negative) or if
adequately vaccinated.
F
A
C
T
S
H
E
E
T
2
Presents with:
AND
/OR
Testing:
1) First void urine (FVU) for chlamydia, gonorrhoea and trichomonas PCR1 AND
TEST
Torsion excluded:
4) Throat and/or rectal swabs for chlamydia and gonorrhoea (PCR and MCS)
if indicated4
Initial treatment
AND
AND
3
YES
Symptoms- should resolve quickly with appropriate antibiotics.
If symptoms recur assess if re-infection or another cause is likely - refer to symptomatic male factsheet
Treat with:
1) Azithromycin 1g orally,
2) Ceftriaxone 500mg IMI stat
AND
3) Tinidazole 2g orally
- Treat contacts with above5
Footnotes
1
Always take FVU on any male the presents with symptoms.
2
If discharge present, then take urethral swab BEFORE Urine sample - the client can self collect urethral swab.
3
Hep B testing is not necessary if immune or history of vaccination
4
Refer to WA Guidelines for managing Sexually Transmitted Infections. http://silverbook.health.wa.gov.au
5
Do NOT give Amoxycillin or Ceftriaxone to people allergic to penicillin discuss with a MO. Alternative treatment for gonorrhoea is Ciprofloxacin 500mg as a single
dose or Azithrromycin 2g as a divided dose
Kimberley Aboriginal Medical Services Council (KAMSC) and WA Country Health Service (WACHS) Kimberley Vc - Last Updated: 24Sep10