Sexual abuse and sexually transmitted infections in children and adolescents

被引:29
作者
Bechtel, Kirsten [1 ]
机构
[1] Yale Univ, Sch Med, Yale New Haven Childrens Hosp, New Haven, CT 06504 USA
关键词
HIV postexposure prophylaxis; nucleic acid amplification tests; sexual abuse; sexually transmitted infections; HUMAN-IMMUNODEFICIENCY-VIRUS; HIV POSTEXPOSURE PROPHYLAXIS; CHLAMYDIA-TRACHOMATIS; PROSPECTIVE COHORT; ASSAULT VICTIMS; TRANSMISSION; EXPOSURE; GIRLS; CARE; SEROPREVALENCE;
D O I
10.1097/MOP.0b013e32833502ad
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Purpose of review Sexual abuse is unfortunately Common in the United States The presence of a sexually transmitted infection in a child or adolescent should prompt an evaluation to exclude sexual abuse. Recent findings The present article reviews the demographics of sexual abuse, the prevalence of specific sexually transmitted infections, such as Neisseria gonorrhoeae, Chlamydia trachomatis, HIV, human papillomavirus (HPV) and herpes simplex virus (HSV) and which children and adolescents are at highest risk for contracting such infections. The use of nonculture methods, such as nucleic acid amplification tests (NAATs), to evaluate prepubertal children for N. gonorrhoeae or C. trachomatis, and the use of HIV postexposure prophylaxis are discussed. Summary Any child or adolescent with a sexually transmitted infection should be evaluated for sexual abuse. Specific infections in prepubertal children, such as Neisseria gonorrhoeae or Chlamydia trachomatis, are due to abusive contact and should be reported to Child Protective Services. As the modes of transmission of anogenital infections with HPV and HSV are unclear, an evaluation for sexual abuse should be done. Although transmission of HIV after sexual abuse is rare, HIV postexposure prophylaxis must be administered in a timely fashion, and adequate outpatient support provided to facilitate compliance and follow-up.
引用
收藏
页码:94 / 99
页数:6
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