Re: Artificial knee and vaginal exams

From: Gerald P. Rodríguez (geraldpr@cybermesa.com)
Fri Feb 27 12:57:45 2004


Sounds like muy grande overkill to me--much like when they (orthopaedic surgeons) first started doing total joint replacements banned female techs and nurses from wearing scrub *dresses* and made them wear scrub pants. The "cootie" fall-out theory, as I recall.

Gerald P. Rodríguez, M.D., FACOG Santa Fe ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ "Never light a match until you know which end of the dog is barking." --Dave Barry ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

>----- Original Message -----
From: "Jane Helwig, MD " <jane@helwig.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Friday, February 27, 2004 12:40 PM Subject: Artificial knee and vaginal exams

> Yesterday a patient came for annual. She had a knee replacement last
> year and was given a card telling her to notify her physician or dentist
> for antibiotic treatment prior to medical procedures including "vaginal
> exams." Accordingly, her primary MD had prescribed an antibiotic which
> the patient took before coming in to me for her pelvic exam and Pap
> smear.
>
> Do we really need to give antibiotic prophylaxis prior to Pap smears for
> patients with artificial joints?
>
> Proceeding quite logically, the patient asked me whether she should take
> antibiotics prior to having intercourse.
>
> Anyone know of infection in artificial joint resulting from vaginal exam
> or Pap smear?
>
> --
> Jane Helwig, MD, FACOG
> Private practice, 2 MDs, 1 CNM
> Franktown, VA
>





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