Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse

Introduction. The presence of sexually transmitted infections (STIs) in patients with suspected sexual abuse is uncommon in the field of pediatrics. Objectives. To establish the prevalence of anogenital findings and their relation to the presence of STIs in girls referred for suspected child sexual...

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Detalles Bibliográficos
Autores principales: Rahman, Gisel, Ocampo, Dolores Cecilia, Rubinstein, Anahí V., Risso, Paula
Formato: Articulo
Lenguaje:Inglés
Publicado: 2015
Materias:
Ciencias Médicas
Child
Child sexual abuse
Female
Physical exam
Sexually transmitted infections
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/86122
Aporte de:
SEDICI (UNLP) de Universidad Nacional de La Plata
id I19-R120-10915-86122
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Médicas
Child
Child sexual abuse
Female
Physical exam
Sexually transmitted infections
spellingShingle Ciencias Médicas
Child
Child sexual abuse
Female
Physical exam
Sexually transmitted infections
Rahman, Gisel
Ocampo, Dolores Cecilia
Rubinstein, Anahí V.
Risso, Paula
Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse
topic_facet Ciencias Médicas
Child
Child sexual abuse
Female
Physical exam
Sexually transmitted infections
description Introduction. The presence of sexually transmitted infections (STIs) in patients with suspected sexual abuse is uncommon in the field of pediatrics. Objectives. To establish the prevalence of anogenital findings and their relation to the presence of STIs in girls referred for suspected child sexual abuse. Material and Methods. Retrospective study conducted between January 1st, 2003 and December 31st, 2013. Physical findings and detection of STIs in girls with suspected child sexual abuse were analyzed. Results. One thousand thirty-four patients were included. Their median age was 7.9 years old. Anogenital findings were classified as class I (normal): 38.4%, class II (nonspecific): 38.1%, class III (specific): 19.9% and class IV (definitive): 3.6%. STIs were observed in 42 patients (4.1%). A relation was established between STIs and the classification of physical findings: 10 (class II: 9; class III: 1) <i>Neisseria gonorrhoeae</i>, 17 (class I: 2; class II: 8; class III: 7) <i>Chlamydia trachomatis</i>, 15 (class I: 2; class II: 10; class III: 3) <i>Trichomonas vaginalis</i>. Statistically significant differences for <i>Trichomonas vaginalis</i> (p= 0.01) and <i>Neisseria gonorrhoeae</i> (p < 0.0001) were observed, with predominance of nonspecific clinical signs. Both nonspecific and specific findings were similarly observed for <i>Chlamydia trachomatis</i> (p= 0.03). Conclusions. Most cases of girls with suspected child sexual abuse had normal or nonspecific anogenital findings. The prevalence of STIs in these girls is low. <i>Trichomonas vaginalis</i> and <i>Neisseria gonorrhoeae</i> were related to nonspecific findings, while both nonspecific and specific findings were observed for <i>Chlamydia trachomatis</i>.
format Articulo
Articulo
author Rahman, Gisel
Ocampo, Dolores Cecilia
Rubinstein, Anahí V.
Risso, Paula
author_facet Rahman, Gisel
Ocampo, Dolores Cecilia
Rubinstein, Anahí V.
Risso, Paula
author_sort Rahman, Gisel
title Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse
title_short Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse
title_full Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse
title_fullStr Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse
title_full_unstemmed Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse
title_sort prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse
publishDate 2015
url http://sedici.unlp.edu.ar/handle/10915/86122
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AT rubinsteinanahiv prevalenceofvulvovaginitisandrelationtophysicalfindingsingirlsassessedforsuspectedchildsexualabuse
AT rissopaula prevalenceofvulvovaginitisandrelationtophysicalfindingsingirlsassessedforsuspectedchildsexualabuse
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bdutipo_str Repositorios
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