Guidelines for medical care of children evaluated for suspected sexual abuse: an update for 2008

Adams, Joyce A.

doi:10.1097/gco.0b013e32830866f4

Cited by 83 publications

(51 citation statements)

References 40 publications

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“…It is important to recognize these findings and to distinguish them from lesions caused by child abuse. 51 The Supplemental Appendix reviews genital and anal conditions that can be confused with sexual abuse.…”

Section: The Physical Examination When Sexual Abuse Is Suspectedmentioning

confidence: 99%

The Evaluation of Children in the Primary Care Setting When Sexual Abuse Is Suspected

Jenny¹,

Christian²,

Crawford-Jakubiak³

et al. 2013

Pediatrics

181

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This clinical report updates a 2005 report from the American Academy of Pediatrics on the evaluation of sexual abuse in children. The medical assessment of suspected child sexual abuse should include obtaining a history, performing a physical examination, and obtaining appropriate laboratory tests. The role of the physician includes determining the need to report suspected sexual abuse; assessing the physical, emotional, and behavioral consequences of sexual abuse; providing information to parents about how to support their child; and coordinating with other professionals to provide comprehensive treatment and follow-up of children exposed to child sexual abuse.

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Section: The Physical Examination When Sexual Abuse Is Suspectedmentioning

confidence: 99%

The Evaluation of Children in the Primary Care Setting When Sexual Abuse Is Suspected

Jenny¹,

Christian²,

Crawford-Jakubiak³

et al. 2013

Pediatrics

181

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show abstract

“…4 Guidelines suggest that anogenital warts in a child, in the absence of other indicators of abuse, is of indeterminate specificity for sexual transmission. 5 A retrospective review of children with anogenital warts referred to a sexual abuse clinic found that 31% were "likely sexually abused," but the likelihood of abuse increased with age. Children with anogenital warts who were four to eight years of age and over eight years were, respectively, 2.9 and 12.1 times more likely to have been abused than children less than four years of age.…”

Section: 2mentioning

confidence: 99%

Human papillomavirus and anogenital warts in children

Ornstein¹,

Hatchette²

2011

CMAJ

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1Anogenital warts in children can be caused by human papillomavirus genotypes associated with common warts There are more than 130 types of human papillomavirus (HPV). Although there is a tendency for different types of HPV to cause anogenital warts in children than in adults, the use of testing for HPV DNA in the medical workup of children with anogenital warts is not specific enough to establish a history of sexual abuse. In a Canadian cross-sectional study, 35 of 72 children referred to a pediatric dermatology clinic for anogenital warts had HPV genotyping. Four genotypes, 2, 3, 7 and 57, which also cause common warts, were associated with two-thirds of anogenital warts.1 In 9 of 18 children in whom sexual abuse was suspected or confirmed, only two had the HPV genotypes 6 and 11 that are more typical of adult anogenital warts.

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“…Eckert et al (14) found in their study that the level of experience of the physicians who perform the examination caused significant differences in terms of determining and interpreting the findings after a sexual assault and the gender of the physician did not cause any difference. Therefore, the medical team who will evaluate the children who have been assaulted sexually should be educated periodically to have a standart level of knowledge (15).…”

Section: Sexual Child Abusementioning

confidence: 99%

“…In this case, determination of gonorrhea, chlamydia, syphilis and HIV etc. is a possible proof of sexual intercourse (4,15).…”

Section: Taking a Samplementioning

confidence: 99%

Cinsel saldırıya uğramış çocuğun muayenesi

Çelbiş¹,

Özdemir²,

Kaya³

2011

tpa

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E Ex xa am mi in na at ti io on n o of f s se ex xu ua al ll ly y a as ss sa au ul lt te ed d c ch hi il ld d O Os sm ma an n C Ce el lb bi ifl fl, , B Bo or ra a Ö Öz zd de em mi ir r, , A At t› ›l lh ha an n K Ka ay ya a* * I In nv vi it te ed d A Au ut th ho or r S Su um mm ma ar ry y Sexual assault to the child has been accepted as one of greatest crimes in the World. In case of sexually attacked child presented to an health center, priority management must be protecting the physical and psychological health of the child. Clinical and other examinations have to be performed immediately and medicolegal report should also be prepared as soon as possible. It should be kept in mind that medicolegal report will provide the most substantial contribution to the subjects being sexually assaulted during the course of the judgement. It is the most important documentation that reflects the intensity of the event and the trauma experienced by the victim. From this perspective, medicolegal report has to cover all findings related to the event in a case of sexual assault. In this paper, the rules of examination of the sexually assaulted child, appropriate environment, the qualification of examiners and obligatory procedures for physicians before, during and after the examination were described. (Turk Arch Ped 2011; 46: 99-104)

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Guidelines for medical care of children evaluated for suspected sexual abuse: an update for 2008

Cited by 83 publications

References 40 publications

The Evaluation of Children in the Primary Care Setting When Sexual Abuse Is Suspected

The Evaluation of Children in the Primary Care Setting When Sexual Abuse Is Suspected

Human papillomavirus and anogenital warts in children

Cinsel saldırıya uğramış çocuğun muayenesi

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