Re: STD screening

From: Atkinson, Samuel M, Jr (ATKINSONS@ecu.edu)
Tue Apr 1 08:17:00 2008


Screening should include hepatitis. Screen for HPV not mandatory as a prerequisite for gardasil. Our practice here at Brody School of Medicine is to recommend hepatitis immunization if pt does not already have same and to recommend HPV vaccine. While you did not mention age of patient, Merck has been granted priority review by FDA of their request for expanding indication to all women up to age 40. Appropo the 60 yr old with PID and the other lady with high risk HPV, little old ladies and their little old men also need sex and occaisionally stray from the marital , monogamous way of life so the more immunization the better.

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen

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Elrod
Sent: Monday, March 31, 2008 8:34 PM
To: Multiple recipients of list OB-GYN-L
Subject: STD screening

I'm just curious. If a patient comes in wanting 'all the STD screening' available due to a history of unprotected intercourse with a previous partner would you offer HPV testing? She denies a history of abnormal paps and is also being seen that day for a pap. If you did order HPV, would you order reflex or just order it as if you were ordering GC or Chlamydia screening?

Glen

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