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Re: Artificial knee and vaginal exams From: DoctorJoe@aol.com Fri Feb 27 14:07:32 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby: "Re: Artificial knee and vaginal exams" Previous message: Gerald P. Rodríguez: "Re: Artificial knee and vaginal exams" Maybe in reply to: Jane Helwig, MD : "Artificial knee and vaginal exams" Next in thread: Efrain Ramirez: "Re: Artificial knee and vaginal exams" In a message dated 2/27/04 14:00:38, geraldpr@cybermesa.com writes: > > 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? > > > You'd have to hit your local ID person for the info. What you want to know besides case reports are the rates of bacteremia attendent to the various activities we enjoy during our lives - like toothbrushing, dental work, vaginal exams, intercourse, etc. Joe P. Next message: Gail Waldby: "Re: Artificial knee and vaginal exams" Previous message: Gerald P. Rodríguez: "Re: Artificial knee and vaginal exams" Maybe in reply to: Jane Helwig, MD : "Artificial knee and vaginal exams" Next in thread: Efrain Ramirez: "Re: Artificial knee and vaginal exams"

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