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The following text is from an archived Red Book® edition and may not reflect current recommendations or information. To view the current edition, click here.
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Section 2. Recommendations for Care of Children in Special Circumstances
SEXUALLY TRANSMITTED INFECTIONS IN ADOLESCENTS AND CHILDREN
Sexual Victimization and STIs
GENERAL CONSIDERATIONS
Child sexual abuse has been defined as the exploitation of a child, either by physical contact or by other interactions, for the sexual stimulation of an adult or a minor who is in a position of power over the child. Sexual victimization of a child younger than 18 years of age by a caregiver is termed abuse; physicians are required by law to report abuse to their state child protective services agency. Sexual victimization of a child or adolescent by a person who is not a caregiver is termed assault. In some instances, sexual victimization involves physical contact permitting the transfer of sexually transmitted microorganisms. Approximately 5% of sexually abused children acquire an STI as a result of the victimization.
SCREENING ASYMPTOMATIC SEXUALLY VICTIMIZED CHILDREN FOR STIs
Factors that influence the likelihood that a sexually victimized child will acquire an STI include the regional prevalence of STIs in the adult population, the number of assailants, the type and frequency of physical contact between the perpetrator(s) and the child, the infectivity of various microorganisms, the child’s susceptibility to infection, and whether the child has received intercurrent antimicrobial agent treatment. The time interval between a child’s physical contact with an assailant and the medical evaluation influences
Related text in Red Book:
- Social Implications of STIs in Children
Red Book 2006: 169-172.[Extract] [Full Version] - Human Immunodeficiency Virus Infection
Red Book 2006: 378-401.[Extract] [Full Version]
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