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Guidelines for medical care of children evaluated for suspected sexual abuse: an update for 2008.
Curr Opin Obstet Gynecol. 2008 Oct; 20(5):435-41.CO

Abstract

PURPOSE OF REVIEW

Child sexual abuse is a common problem in our society and medical professionals who provide evaluations of children who may have been abused need to be updated as to recent research findings and recommendations for conducting examinations and interpreting results.

RECENT FINDINGS

Research studies have provided important new information regarding the qualifications of examiners, the recovery of forensic evidence in children, the frequency of abnormal findings in children and adolescents, the healing of genital injuries, and the interpretation of medical findings and sexually transmissible infections with respect to abuse.

SUMMARY

The recommendations for the timing and type of examinations for prepubertal children, in contrast to adolescent sexual assault victims, may need to be changed. Studies showing that partial tears of the hymen, as well as abrasions and contusions, may heal to leave very little or no sign of previous injury emphasize the importance of urgent evaluations. There is a need for standardization of the training of medical professionals who perform child sexual abuse evaluations to ensure continuing competence.

Authors+Show Affiliations

Department of Pediatrics, University of California-San Diego, San Diego, California, USA. jadams@ucsd.edu

Pub Type(s)

Guideline
Journal Article

Language

eng

PubMed ID

18797265

Citation

Adams, Joyce A.. "Guidelines for Medical Care of Children Evaluated for Suspected Sexual Abuse: an Update for 2008." Current Opinion in Obstetrics & Gynecology, vol. 20, no. 5, 2008, pp. 435-41.
Adams JA. Guidelines for medical care of children evaluated for suspected sexual abuse: an update for 2008. Curr Opin Obstet Gynecol. 2008;20(5):435-41.
Adams, J. A. (2008). Guidelines for medical care of children evaluated for suspected sexual abuse: an update for 2008. Current Opinion in Obstetrics & Gynecology, 20(5), 435-41. https://doi.org/10.1097/GCO.0b013e32830866f4
Adams JA. Guidelines for Medical Care of Children Evaluated for Suspected Sexual Abuse: an Update for 2008. Curr Opin Obstet Gynecol. 2008;20(5):435-41. PubMed PMID: 18797265.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Guidelines for medical care of children evaluated for suspected sexual abuse: an update for 2008. A1 - Adams,Joyce A, PY - 2008/9/18/pubmed PY - 2009/2/4/medline PY - 2008/9/18/entrez SP - 435 EP - 41 JF - Current opinion in obstetrics & gynecology JO - Curr Opin Obstet Gynecol VL - 20 IS - 5 N2 - PURPOSE OF REVIEW: Child sexual abuse is a common problem in our society and medical professionals who provide evaluations of children who may have been abused need to be updated as to recent research findings and recommendations for conducting examinations and interpreting results. RECENT FINDINGS: Research studies have provided important new information regarding the qualifications of examiners, the recovery of forensic evidence in children, the frequency of abnormal findings in children and adolescents, the healing of genital injuries, and the interpretation of medical findings and sexually transmissible infections with respect to abuse. SUMMARY: The recommendations for the timing and type of examinations for prepubertal children, in contrast to adolescent sexual assault victims, may need to be changed. Studies showing that partial tears of the hymen, as well as abrasions and contusions, may heal to leave very little or no sign of previous injury emphasize the importance of urgent evaluations. There is a need for standardization of the training of medical professionals who perform child sexual abuse evaluations to ensure continuing competence. SN - 1473-656X UR - https://www.unboundmedicine.com/medline/citation/18797265/Guidelines_for_medical_care_of_children_evaluated_for_suspected_sexual_abuse:_an_update_for_2008_ L2 - https://doi.org/10.1097/GCO.0b013e32830866f4 DB - PRIME DP - Unbound Medicine ER -