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admin 22.04.2016

At Jail Medicine we discuss all aspects of medicines practiced in today's jails, prisons and juvenile facilities. In all cases, the provider ONLY can apply the topical treatment.  What is the protocol to treat genital warts? Condylomata acuminata (genital warts) is,of course, a sexually transmitted disease caused by Human Papillomavirus (HPV).
There are three basic ways of getting rid of genital warts (or any warts, for that matter).
The second approach is to apply an irritating chemical to the wart which works mainly by stimulating the patient’s immune system to recognize the diseased tissue and to destroy it. In the outside world of dermatology, these agents are typically only used on patients who are considered reliable and careful enough to apply these chemicals themselves. Freezing the warts has several advantages over the chemicals, especially in correctional settings. So cryotherapy, in my opinion, is the best overall technique for getting rid of genital warts in correctional facilities.

At my prison facility where we do wart removal, we initially used the expensive commercial freezing canisters like Verrucafreeze, but about three years ago switched to using air-duster cans held upside down.
Would your facility be interested in doing and publishing a formal study comparing commercial freezing sprays to air-duster cans?
Especial thanks to Neelie Berlin, PA Extraordinaire, who helped me extensively with this post!
This entry was posted in Dermatology, Medical Practice and tagged correctional medicine, Genital wart, jail medicine, jails, prisons on June 18, 2012 by Jeffery Keller MD.
I used air duster in Afghanistan when my troops came back from leave with warts and wanted treated before going home.
As always is an unbelivable source of valuable information, that I am going to apply right away!!!!!! Should one be concerned about medico legal issues on using an air duster (not a medically approved treatment chemical) on a highly litigius population in case some complication happens?
Isn’t this also a case of using something that is not a medical equipment or treatment strictly for cost cutting purposes?

Regarding legal concerns: I just took the blue insulation Koozie thingy that came with the expensive Verruca Freeze kit and wrapped it around the air-duster can. Much better for  our clinics are cans of freezing solution, like Histofreeze or Verrucafreeze mentioned by Aldo. Until they get a result that does not meet their expectations…even if I tried to under-promise and over-deliver. But certainly, there is nothing wrong with asking the opinion of your facility’s legal counsel!

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