Child sexual abuse examination: Is there a need for routine screening for N gonorrhoeae and C trachomatis?

Karen J. Simmons; Dorothy J. Hicks

doi:10.1016/j.jpag.2005.06.006

Child sexual abuse examination: Is there a need for routine screening for N gonorrhoeae and C trachomatis?

Karen J. Simmons, Dorothy J. Hicks

Obstetrics & Gynecology

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Purpose: To determine the yield of routine vaginal cultures for Neisseria gonorrhoeae and Chlamydia trachomatis from girls evaluated following sexual abuse. Methods: Retrospective chart review evaluating results of cultures that were obtained from 2008 prepubertal girls seen within 72 hours following an assault over two periods of 3 years each. Results: It was found that only 16 (0.8%) of cultures were positive for either gonorrhea or chlamydia. All but one of the prepubertal girls who had positive vaginal cultures for sexually transmitted disease had signs of acute vulvovaginitis. Conclusion: Routine vaginal cultures in asymptomatic pre-pubertal girls have a very low yield. Prospective studies are required to change current protocols for the evaluation of child victims of sexual abuse.

Original language	English (US)
Pages (from-to)	343-345
Number of pages	3
Journal	Journal of Pediatric and Adolescent Gynecology
Volume	18
Issue number	5
DOIs	https://doi.org/10.1016/j.jpag.2005.06.006
State	Published - Oct 2005

Keywords

C trachomatis
N gonorrhoeae
Prepubertal girls
Sexual assault
STD screen

ASJC Scopus subject areas

Obstetrics and Gynecology
Pediatrics, Perinatology, and Child Health

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title = "Child sexual abuse examination: Is there a need for routine screening for N gonorrhoeae and C trachomatis?",

abstract = "Purpose: To determine the yield of routine vaginal cultures for Neisseria gonorrhoeae and Chlamydia trachomatis from girls evaluated following sexual abuse. Methods: Retrospective chart review evaluating results of cultures that were obtained from 2008 prepubertal girls seen within 72 hours following an assault over two periods of 3 years each. Results: It was found that only 16 (0.8%) of cultures were positive for either gonorrhea or chlamydia. All but one of the prepubertal girls who had positive vaginal cultures for sexually transmitted disease had signs of acute vulvovaginitis. Conclusion: Routine vaginal cultures in asymptomatic pre-pubertal girls have a very low yield. Prospective studies are required to change current protocols for the evaluation of child victims of sexual abuse.",

keywords = "C trachomatis, N gonorrhoeae, Prepubertal girls, Sexual assault, STD screen",

author = "Simmons, {Karen J.} and Hicks, {Dorothy J.}",

year = "2005",

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doi = "10.1016/j.jpag.2005.06.006",

language = "English (US)",

volume = "18",

pages = "343--345",

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AU - Hicks, Dorothy J.

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N2 - Purpose: To determine the yield of routine vaginal cultures for Neisseria gonorrhoeae and Chlamydia trachomatis from girls evaluated following sexual abuse. Methods: Retrospective chart review evaluating results of cultures that were obtained from 2008 prepubertal girls seen within 72 hours following an assault over two periods of 3 years each. Results: It was found that only 16 (0.8%) of cultures were positive for either gonorrhea or chlamydia. All but one of the prepubertal girls who had positive vaginal cultures for sexually transmitted disease had signs of acute vulvovaginitis. Conclusion: Routine vaginal cultures in asymptomatic pre-pubertal girls have a very low yield. Prospective studies are required to change current protocols for the evaluation of child victims of sexual abuse.

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