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.
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