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The first 20% of the full text of this section appears below.

Section 2. Recommendations for Care of Children in Special Circumstances

Sexually Transmitted Infections in Adolescents and Children

Sexual Victimization and STIs

General Considerations
Screening Asymptomatic Sexually Victimized Children for STIs
Prophylaxis After Sexual Victimization

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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.


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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 the likelihood that an exposed . . . [Go to Full Text]


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