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

Karen J. Simmons, Dorothy J. Hicks

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)343-345
Number of pages3
JournalJournal of Pediatric and Adolescent Gynecology
Volume18
Issue number5
DOIs
StatePublished - 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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