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Sexual abuse and sexually transmitted infections in children and adolescents.
Curr Opin Pediatr. 2010 Feb; 22(1):94-9.CO

Abstract

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.

Authors+Show Affiliations

Yale University School of Medicine, Yale-New Haven Children's Hospital, 840 Howard Avenue, first floor, New Haven, CT 06504, USA. kirsten.bechtel@yale.edu

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

19952927

Citation

Bechtel, Kirsten. "Sexual Abuse and Sexually Transmitted Infections in Children and Adolescents." Current Opinion in Pediatrics, vol. 22, no. 1, 2010, pp. 94-9.
Bechtel K. Sexual abuse and sexually transmitted infections in children and adolescents. Curr Opin Pediatr. 2010;22(1):94-9.
Bechtel, K. (2010). Sexual abuse and sexually transmitted infections in children and adolescents. Current Opinion in Pediatrics, 22(1), 94-9. https://doi.org/10.1097/MOP.0b013e32833502ad
Bechtel K. Sexual Abuse and Sexually Transmitted Infections in Children and Adolescents. Curr Opin Pediatr. 2010;22(1):94-9. PubMed PMID: 19952927.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual abuse and sexually transmitted infections in children and adolescents. A1 - Bechtel,Kirsten, PY - 2009/12/3/entrez PY - 2009/12/3/pubmed PY - 2010/3/26/medline SP - 94 EP - 9 JF - Current opinion in pediatrics JO - Curr Opin Pediatr VL - 22 IS - 1 N2 - 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. SN - 1531-698X UR - https://www.unboundmedicine.com/medline/citation/19952927/Sexual_abuse_and_sexually_transmitted_infections_in_children_and_adolescents_ L2 - https://doi.org/10.1097/MOP.0b013e32833502ad DB - PRIME DP - Unbound Medicine ER -