Hysterosalpingogram

Common Pathogens

Enterobacterales
Anaerobes
Group B Streptococci
Enterococcus spp

 

Prophylaxis not routinely indicated unless high risk.

 

High risk:

  • dilated fallopian tubes

  • peritubal adhesions

  • previous sexually transmitted infection (STI)/PID

Regimen(s) of Choice
See General Principles and Pre-Op Antibiotic Administration and Intraoperative Antibiotic Administration
If previous STI/PID, give:    
Doxycycline 100mg PO x 1 pre-op dose
then    
Doxycycline 100mg PO bid x 5 days post-op
If dilated fallopian tubes or peritubal adhesions seen, give:
Doxycycline 100mg PO bid x 5 days post-op