Name of the Procedure:

Injection, penicillin G benzathine and penicillin G procaine, 100,000 units (HCPCS Code J0558)

Summary

This procedure involves injecting a combination of penicillin G benzathine and penicillin G procaine into a muscle to treat various bacterial infections. This long-acting antibiotic formulation fights off bacteria and helps to clear infections from the body.

Purpose

The injection is used to treat bacterial infections such as syphilis, rheumatic heart disease, and other streptococcal infections. The goal is to eliminate the bacterial infection, alleviate symptoms, and prevent complications related to these infections.

Indications

• Syphilis
• Rheumatic Heart Disease
• Streptococcal Infections
• Prophylaxis in individuals at risk of these infections

Preparation

• No fasting is required.
• Inform your healthcare provider of any allergies, current medications, and medical history.
• Diagnostic tests like blood work may be performed to confirm the need for this antibiotic treatment.

Procedure Description

1. The patient will be asked to sit or lie down comfortably.
2. The healthcare provider will clean the injection site, usually in the gluteus (buttocks) or thigh with an antiseptic.
3. A syringe filled with 100,000 units of penicillin G benzathine and penicillin G procaine will be prepared.
4. The provider will then inject the medication slowly into the muscle.
5. After the injection, the site will be checked for any immediate adverse reactions.

No anesthesia or sedation is typically required for this procedure, though local numbing agents may be used to minimize discomfort.

Duration

The actual injection process takes about 5-10 minutes.

Setting

This procedure is typically performed in an outpatient clinic, hospital, or physician's office.

Personnel

• Primary Care Physician or Specialist
• Registered Nurse or Medical Assistant

Risks and Complications

• Common: Pain at the injection site, redness, and swelling
• Rare: Severe allergic reactions, seizures, dizziness, and difficulty breathing
• Management: Immediate medical care and possibly antihistamines or epinephrine for allergic reactions, monitoring, and supportive care for other complications.

Benefits

• Effective in treating bacterial infections
• Prevents complications associated with untreated infections
• Benefits are usually observed within a few days after the injection.

Recovery

• Post-procedure care includes monitoring the injection site for signs of infection or adverse reactions.
• Patients can usually resume normal activities immediately, but should follow any specific instructions provided by their healthcare provider.
• Follow-up appointments may be scheduled to monitor the patient’s response to treatment.

Alternatives

• Oral antibiotics (though they may not be as effective for certain infections)
• Other injectable antibiotics
• Pros: Easier administration, less discomfort
• Cons: May require more frequent dosing, potential for decreased efficacy in certain conditions.

Patient Experience

During the procedure, patients may feel a brief sting or discomfort at the injection site. After the procedure, some soreness may be experienced for a day or two. Pain management strategies include applying a cold pack to the injection site and over-the-counter pain relievers.