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 Citations (Scopus)

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
Pages (from-to)343-345
Number of pages3
JournalJournal of Pediatric and Adolescent Gynecology
Volume18
Issue number5
DOIs
StatePublished - Oct 1 2005
Externally publishedYes

Fingerprint

Sexual Child Abuse
Gonorrhea
Vulvovaginitis
Chlamydia
Neisseria gonorrhoeae
Chlamydia trachomatis
Sex Offenses
Sexually Transmitted Diseases
Prospective Studies

Keywords

  • C trachomatis
  • N gonorrhoeae
  • Prepubertal girls
  • Sexual assault
  • STD screen

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Child sexual abuse examination : Is there a need for routine screening for N gonorrhoeae and C trachomatis? / Simmons, Karen J.; Hicks, Dorothy J.

In: Journal of Pediatric and Adolescent Gynecology, Vol. 18, No. 5, 01.10.2005, p. 343-345.

Research output: Contribution to journalArticle

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