Procedure Questions

  • Thursday, July 11, 2024 10:52 AM
    Reply # 13380867 on 13379928
    Anonymous member (Administrator)

    From Cristina Brickman, MD:

    1. At ANCRE we only use Dacron polyester tipped swabs and I would recommend their use; their yield is more than adequate. It is also possible to collect with the cytobrush, however it is less comfortable for patients. If you can let me know where exactly in the course the cytobrush is mentioned, we can look into and make sure there is no confusion moving forward. 

    We use a dacron-tipped sterile swab that is 6 inches long, the diameter of the tip is 0.203 inches (Puritan 25-806 1PD). The swab you mentioned is longer and slightly larger so it may be less comfortable for patients, although it would likely yield adequate results.

    2. Perhaps the best approach is to apply the same standards to all patients; that is, to have a chaperone in the room for everyone undergoing a sensitive procedure regardless of gender. That being said, there is broad variability here, sometimes related to staffing and level of provider comfort. 

  • Tuesday, July 09, 2024 12:04 PM
    Message # 13379928

    I work in a Ryan White clinic where the population is primarily MSM. I am trying to initiate DARE, rectal cytology and ultimately anoscopy to better care for our patients.

    1.       With regard to cytology an earlier module mentioned using either a cytobrush or polyester swab, but the cytology lecture mentioned only the swab. Could you clarify? I had seen a lecture a couple of years ago by a colorectal surgeon that performed with cytobrush and that’s what I’ve consistently used – probably incorrectly?

    Also, for the swab I’m assuming it would be an OB swab like OB/Gyn Swab Plastic Rayon Tip 8" Non-Sterile Oversized?

    2.       Do you have any guidance on performing DARE without a chaperon in the exam room? While I never perform a cervical PAP on a female patient I find most male patients prefer the medical assistant not to be in the room. That’s never made me uncomfortable with cytology but as I think about performing DARE on MSM it makes me a bit nervous that the procedure could be perceived sexually? Appreciate any advice.


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