Re: Artificial knee and vaginal exams

From: Efrain Ramirez (eramirezt@coqui.net)
Fri Feb 27 16:08:58 2004


Will she have to take antibiotics before each intercourse??

>> At Fri, 27 Feb 2004, Jane Helwig, MD wrote:
>
>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
>

--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound truth."

Niels Bohr (1885 - 1962)





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