BASHH National Audit Group
Case Note Audit on the Management of Epididymo-orchitis
BASHH Clinical Effectiveness Group Auditable Outcome Measures (2010):
• The four basic microbiological investigations, as recommended in the guidelines, should be
performed. Target 90%
 An appropriate antibiotic regimen, as recommended in the guidelines, should be prescribed.
Target 100%
• Sexual partners of men with sexually transmitted epididymo-orchitis should be seen and treated
epidemiologically. The targets achieved should be as set in the gonorrhoea and chlamydia national
guidelines.
• A written action plan should be recorded for men who have not responded clinically to the initial
course of antibiotics. Target 80%
Five essential questions are: Qs 3, 4, 5, 6, 7 highlighted in yellow
Name of Clinic:
Case ID:
Audit Form No:
Q1: Age (years):
Q.2: Gender
 Male
 Female*
*  √ if pregnant
Q.3: Sexuality
 Heterosexual
 Homosexual
 Bisexual
 Unknown
Q.4: Ethnicity
Ethnic category
White
British
Irish
Any other White background
Asian or Asian British
Indian
Pakistani
Bangladeshi
Any other Asian background



Mixed
White and Black Caribbean
White and Black African
White and Asian
Any other mixed background








Black or Black British
Caribbean
African
Any other Black background



Other Ethnic Groups
Chinese
Any other ethnic group
Not stated
Q.3: About which of the following historical details was any clinical record made?
Please tick all that applied:
Sexual history
Insertive anal intercourse
Duration of testicular pain
History of scrotal trauma
Swelling or pain in the area of the parotid glands
in the previous 3 weeks
Page 1 of 1
 Yes
 Yes
 Yes
 Yes
 No
 No
 No
 No
 Yes
 No



BASHH National Audit Group
 Yes
 Yes
 Yes
History of urinary tract abnormality
Recent lower urinary tract instrumentation or catheterisation
Drug history
 No
 No
 No
Q.4: Did the examination record include any comment on positive or negative findings
related to any of the following?
Please tick all that applied:
 Yes
 Yes
 Yes
 Yes
No examination findings recorded
Signs relevant to testicular torsion
Signs relevant to hydatid torsion
Other possible causes of testicular pain
 No
 No
 No
 No
Q.5: Which of the following were offered and performed, and what was the result?
Please tick all that applied:
Test
Offered
Performed
Microscopy of a Gram’s stain of a urethral swab smear


Urethral or urine test for gonorrhoeal infection


Urethral or urine test for chlamydial infection


Microscopic examination of first-void urine for urinary threads


Microscopy/cytometry of mid-stream urine for bacteria


Culture of mid-stream urine for bacteria


Scrotal contents ultrasonography


Epididymal aspiration




Result
Other, please specify below:
Q.6a: Was this patient offered antibiotic treatment for EDO?
 Yes, accepted
 Yes, declined
 No
Q.6b: If the offer of antibiotic treatment for EDO was accepted, when was this given?
Offered before the results of tests were available
Offered after the results of tests were available
Other
 Yes
 No
 Yes
 No
 Yes, please specify:
Q.6c: If the offer of antibiotic treatment for EDO was accepted, what treatment was given?
Please tick all that applied:
 Ceftriaxone 250mg intramuscularly single dose
 Doxycycline 100mg orally twice daily for 10-14 days
 Doxycycline 100mg orally twice daily for 10-14 days
Page 2 of 2
BASHH National Audit Group
 Ofloxacin 200mg by mouth twice daily for 14 days
 Ciprofloxacin 500mg by mouth twice daily for 10 days
 Other, please specify:
Q.7a: Was this patient offered follow up at your clinic?
 Yes, accepted
 Yes, declined
 No
Q.7b: If follow up did take place, which of the following applied?
Please tick all that applied:
The treatment given for EDO was completed
Any symptoms attributed to EDO had resolved
 Yes
 Yes
 No
 No
Any clinical signs attributed to EDO had resolved
An action plan was recorded if the patient or clinician was not
satisfied with the response to the initial course of antibiotics
 Yes
 No
 Yes
 No
 Not applicable
Ultrasonography of the scrotal contents was offered
 Yes
 No
The patient was referred to the local urology service
 Yes
 No
If the EDO was sexually transmitted, any sexual partners within
the appropriate look back period were treated epidemiologically  Yes
 No
 Not applicable
 Yes
Other, please specify:
 No
Q.10: Was it documented that the patient was offered written information on EDO?
 Yes
 No
Q.11: Please provide any additional comments about the management of this patient in
your clinic here:
For case note questions on partner notification, please see the Case Notes Audit on
Partner Notification Questionnaire: www.bashh.org/groups/national_audit_group
Last modified 17 October 2012. Hugo McClean.
Thank you for completing this questionnaire
Page 3 of 3