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J Pediatr Adolesc Gynecol. 2005 Oct;18(5):343-5.

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

Author information

1
Rape Treatment Center, Jackson Memorial Hospital, and the Department of Obstetrics and Gynecology, University of Miami, Miami, Florida 33136, USA. ksimmons@med.miami.edu

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.

PMID:
16202938
DOI:
10.1016/j.jpag.2005.06.006
[Indexed for MEDLINE]

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