Concerns About Pediatric Care: Hygiene Practices During Doctor Visits - Pediatrics

Share to:

Questions during a medical consultation?


Hello, doctor: My child went to see a physician due to a sore in his mouth.
The doctor examined him without wearing gloves and touched the inside of my son's mouth with her bare hands.
I was shocked at the moment but didn't say anything to her! Since she is a family medicine physician, she also sees gynecological patients in the pediatric clinic.
I have been very worried since then because it seems very unhygienic.
I don't know the condition of her previous patient or if she washed her hands.
If her previous patient had a sexually transmitted infection, such as HPV, which is highly contagious, could my son be at risk of transmission? I'm really concerned because I found online that HPV can be transmitted indirectly and can also appear in the oral cavity.
Please help me with this!

Xiao Qian, 20~29 year old female. Ask Date: 2016/08/10

Dr. Xiao Kaiwen reply Pediatrics


The chances of sexually transmitted infections occurring in the oral cavity are extremely low, so there is no need to worry excessively.
The likelihood of transmitting diseases under such circumstances is also minimal, so please do not be overly concerned.
Just monitor for common symptoms of illness, such as fever, vomiting, diarrhea, etc.

Reply Date: 2016/08/10

More Info


Your concerns regarding hygiene practices during medical visits, especially for children, are completely valid and important. In a healthcare setting, maintaining proper hygiene is crucial to prevent the transmission of infections, particularly in pediatric care where children may have developing immune systems and are more susceptible to infections.

When a physician examines a patient, especially in sensitive areas such as the mouth, it is standard practice to use gloves. This is to ensure that any potential pathogens from the physician's hands do not come into contact with the patient, and vice versa. The use of gloves is a fundamental aspect of infection control protocols in healthcare settings. If a physician does not wear gloves during an examination, it raises legitimate concerns about the risk of cross-contamination, especially if the physician has seen other patients before your child.

In your specific case, you mentioned the possibility of the physician having seen a patient with a sexually transmitted infection (STI) like HPV, which can cause warts in the oral cavity. While HPV is primarily transmitted through direct skin-to-skin contact, the concern about indirect transmission through unwashed hands or contaminated instruments is understandable. However, it is important to note that the risk of transmission in the scenario you described is relatively low, especially if the physician followed proper hand hygiene protocols before the examination.

To address your concerns, here are a few points to consider:
1. Communication: It is essential to communicate your concerns with the healthcare provider. If you feel uncomfortable with the examination practices, do not hesitate to express your worries. A good physician will appreciate your feedback and may provide reassurance or adjust their practices accordingly.

2. Infection Control Practices: Most healthcare facilities have strict infection control policies in place. You can inquire about these policies at the clinic or hospital where your child was treated. Understanding their protocols can help alleviate your concerns.

3. Follow-Up: If you notice any unusual symptoms in your child following the visit, such as sores, rashes, or any signs of infection, it is important to seek medical attention promptly. Early intervention can help address any potential issues.

4. Educating Yourself: It is beneficial to educate yourself about hygiene practices in healthcare settings. Knowing what to expect can empower you to advocate for your child's health more effectively.

5. Choosing Healthcare Providers: If you continue to feel uneasy about the hygiene practices of a particular provider, consider seeking care from another physician or clinic that prioritizes infection control. Pediatricians and family medicine practitioners should adhere to the highest standards of hygiene, especially when treating children.

In summary, while your concerns are valid, the risk of transmission of infections in the scenario you described is generally low if proper hygiene practices are followed. However, it is always best to advocate for your child's health and ensure that you feel comfortable with the care they are receiving. If you have ongoing concerns, do not hesitate to seek a second opinion or change healthcare providers. Your child's health and safety should always come first.

Similar Q&A

Concerns About Hygiene: Protecting Your Child from Illness

Hello, doctor. I have a question. My child might have been frightened, and a friend of a family elder came over and kindly offered to help calm him down. He used his hands, which were extremely dirty, and then dipped his hands in water and let my son drink it. Could this lead to ...


Dr. Xiao Kaiwen reply Pediatrics
Infections can enter through the mouth, and if pathogenic bacteria that affect humans are introduced, children who lack immunity to these pathogens may become ill. The symptoms of various pathogens can differ, but generally, one should observe for common signs of illness such as ...

[Read More] Concerns About Hygiene: Protecting Your Child from Illness


Concerns About Dental Hygiene: Anxiety Over Clinic Practices and Safety

Hello, Doctor. I'm sorry, but I'm feeling very anxious. Yesterday, I went to the clinic for a dental check-up and cleaning. The dentist who attended to me kept chatting with the clinic staff while examining me. During the cleaning, water splashed everywhere, and I wasn&...


Dr. Lin Wufu reply Internal Medicine
Hello, to be honest, based on the scenario you described, there doesn't seem to be a significant risk of infection unless there is reasonable evidence to suspect that the clinic has reused disposable medical materials or has not properly sterilized them (which would not be b...

[Read More] Concerns About Dental Hygiene: Anxiety Over Clinic Practices and Safety


Can Touching Wet Surfaces Lead to Infections in Children?

Hello, Doctor. 1. If a child is not tall enough and their clothing often gets wet from touching the sink while washing hands, is there a risk of bacterial infection or transmission of diseases if the wet area is near the genital region? If the child needs to change clothes, sho...


Dr. Du Shixi reply Urology
Hello: 1. If a child is not tall enough and their clothes often get wet from touching the sink while washing hands, is there a risk of bacterial infection or transmission of diseases if the area near their private parts comes into contact with the sink and is wet? If the child ne...

[Read More] Can Touching Wet Surfaces Lead to Infections in Children?


Preventing Infections: Safe Practices for Kids and Public Items

Hello, Doctor. 1. Is it effective to regularly clean or disinfect with alcohol the items used by children to prevent infections from viruses and bacteria? 2. If an item falls on the ground in a public place or a public restroom, is it acceptable to pick it up and then wash my...


Dr. Chen Bingze reply Surgery
You are doing well, please keep it up.

[Read More] Preventing Infections: Safe Practices for Kids and Public Items


Related FAQ

Bedwetting

(Pediatrics)

Infant Care

(Pediatrics)

Stool

(Pediatrics)

Infant Urination

(Pediatrics)

Medical Report

(Pediatrics)

Well-Child Clinic

(Pediatrics)

Skin

(Pediatrics)

Which Department To Visit

(Pediatrics)

Teething

(Pediatrics)

Cough

(Pediatrics)