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Int J STD AIDS. 2016 Feb;27(2):85-96. doi: 10.1177/0956462415586675. Epub 2015 May 22.

2015 UK National Guideline on the management of non-gonococcal urethritis.

Author information

1
School of social and Community Medicine, University of Bristol, Bristol, UK Bristol Sexual Health Centre, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
2
Bristol Sexual Health Centre, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
3
Chester Sexual Health, Countess of Chester NHS Foundation Trust, Cheshire, UK.
4
Public Health Laboratory, Public Health England, Bristol, UK.
5
West London Centre for Sexual Health, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
6
Whittall Street Clinic, Birmingham Sexual Health, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK keith.radcliffe@uhb.nhs.uk.

Abstract

We present the updated British Association for Sexual Health and HIV guideline for the management of non-gonococcal urethritis in men. This document includes a review of the current literature on its aetiology, diagnosis and management. In particular it highlights the emerging evidence that azithromycin 1 g may result in the development of antimicrobial resistance in Mycoplasma genitalium and that neither azithromycin 1 g nor doxycycline 100 mg twice daily for seven days achieves a cure rate of >90% for this micro-organism. Evidence-based diagnostic and management strategies for men presenting with symptoms suggestive of urethritis, those confirmed to have non-gonococcal urethritis and those with persistent symptoms following first-line treatment are detailed.

KEYWORDS:

Chlamydia trachomatis; Mycoplasma genitalium; NGU; NSU; Non-gonococcal urethritis; chlamydia; sexually transmitted infections; urethritis

PMID:
26002319
DOI:
10.1177/0956462415586675
[Indexed for MEDLINE]

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