Infecciones de transmisión sexual en el contexto de una agresión sexual

Ragpa, Leonora Hernandez; Urdangaray, Amelia Valladolid; Benéitez, Oscar Luis Ferrero; Sáez, Carmen Díez

doi:10.1016/j.eimc.2018.11.004

Cited by 5 publications

(2 citation statements)

References 23 publications

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“…Probablemente las salpingitis que ocurren en las usuarias habituales de AOC, son menos graves, ya que estos evitan, en cierta forma, que los ovarios se involucren tempranamente en la reacción inflamatoria peritoneal al mantenerlos "silenciados" (58).…”

Section: Riesgo De Enfermedad Inflamatoria Pélvica 1 ¿Los Ah Tienen B...unclassified

“…En relación con las píldoras de solo progestina, algunos investigadores refieren que, debido a los efectos directos sobre el moco cervical (espesamiento) y el epitelio endometrial (adelgazamiento, e incluso, atrofia) estas pueden proteger de la EIP al dificultar o bloquear el ascenso bacteriano por el aparato genital femenino; sin embargo, aclaran que estas no pueden impedir que se produzcan infecciones del tracto reproductor bajo y que no pueden proteger del VIH. Los datos de estudios relativos a los inyectables de solo progestina y el riesgo de contraer una ITS y una infección por VIH, son contradictorios, y no se dispone de estudios publicados sobre los efectos del implante de solo progestina, en relación con la transmisión del VIH (58).…”

Section: Riesgo De Enfermedad Inflamatoria Pélvica 1 ¿Los Ah Tienen B...unclassified

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Consenso Anticoncepción Hormonal. Actualización 2023. CAPÍTULO 7. Beneficios no contraceptivos de la anticoncepción hormonal

Curiel

2024

RSOGV

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Section: Riesgo De Enfermedad Inflamatoria Pélvica 1 ¿Los Ah Tienen B...unclassified

Consenso Anticoncepción Hormonal. Actualización 2023. CAPÍTULO 7. Beneficios no contraceptivos de la anticoncepción hormonal

Curiel

2024

RSOGV

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Assistance to Victims of Sexual Violence in a Referral Service: A 10-Year Experience

Jesus

Rodrigues

Braga

et al. 2022

Rev Bras Ginecol Obstet

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Objective To evaluate the assistance provided to women victims of sexual violence and their participation in the follow-up treatment after the traumatic event, presenting a sociodemographic profile, gynecological background, and circumstances of the event, and reporting the results, acceptance, and side effects of prophylaxis for sexually transmitted infections (STIs) and pregnancy. Methods A retrospective cohort study comprising the period between 2007 and 2016. All women receiving medical care and clinical follow-up after a severe episode of sexual violence were included. Records of domestic violence, male victims, children, and adolescents who reported consensual sexual activity were excluded. The present study included descriptive statistics as frequencies and percentages. Results A total of 867 medical records were reviewed and 444 cases of sexual violence were included. The age of the victims ranged from 10 to 77 years old, most of them self-declared white, with between 4 and 8 years of education, and denying having a sexual partner. Sexual violence occurred predominantly at night, on public thoroughfare, being committed by an unknown offender. Most victims were assisted at the referral service center within 72 hours after the violence, enabling the recommended prophylaxis. There was high acceptance of antiretroviral therapy (ART), although half of the users reported side effects. Seroconversion to human immunodeficiency virus (HIV) or to hepatitis B virus (HBV) was not detected in women undergoing prophylaxis. Conclusion In the present cohort, the profile of victims of sexual violence was low-educated, young, white women. The traumatic event occurred predominantly at night, on public thoroughfare, being committed by an unknown offender. Assistance within the first 72 hours after sexual violence enables the healthcare center to provide prophylactic interventions against STIs and unwanted pregnancies.

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ROAR ED-SANE: A Retrospective Observational Assessment Review of an Emergency Department Sexual Assault Nurse Examiner Program's Adherence to Centers for Disease Control and Prevention Guidelines for Sexually Transmitted Infections

et al. 2022

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Background: Sexual assault survivors are at increased risk for sexually transmitted infections. Sexual Assault Nurse Examiner programs guide sexually transmitted infection treatment, monitoring, and follow-up scheduling according to guidelines by the Centers for Disease Control and Prevention (CDC). Reported low rates of provider adherence to CDC treatment guidelines and patient adherence to follow-up necessitate a review of medication prescribing and follow-up scheduling practices, especially at smaller community hospitals in the United States.Methods: A retrospective medical record review was conducted to assess adherence rates to CDC guidelines for prescribing practices, scheduling, and follow-up of sexual assault survivors. We included pediatric and adult patients presenting to the emergency department (ED) and participating in the ED Sexual Assault Nurse Examiner program at a rural, community-based teaching hospital in La Crosse, WI, from January 2018 to December 2021. Descriptive statistics were used to evaluate results.Results: Analysis included 103 patients. Prescribing adherence to CDC guidelines was >80% for all except human immunodeficiency virus (53.4%), trichomoniasis (68.1%), and hepatitis B (69%). Of the 38 patients who had a follow-up scheduled during their ED encounter, 78.9% attended their scheduled follow-up and 94.7% of those appointments were scheduled within the CDC-recommended time frame, leading to an overall adherence of 40%. Conclusions:Adherence rates were high for most prescribing practices, and attendance of scheduled follow-up was higher than expected. Opportunities to improved adherence to CDC guidelines were identified in prescribing for 3 disease states (human immunodeficiency virus, trichomoniasis, and hepatitis B) and in scheduling of follow-up.

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Infecciones de transmisión sexual en el contexto de una agresión sexual

Cited by 5 publications

References 23 publications

Consenso Anticoncepción Hormonal. Actualización 2023. CAPÍTULO 7. Beneficios no contraceptivos de la anticoncepción hormonal

Consenso Anticoncepción Hormonal. Actualización 2023. CAPÍTULO 7. Beneficios no contraceptivos de la anticoncepción hormonal

Assistance to Victims of Sexual Violence in a Referral Service: A 10-Year Experience

ROAR ED-SANE: A Retrospective Observational Assessment Review of an Emergency Department Sexual Assault Nurse Examiner Program's Adherence to Centers for Disease Control and Prevention Guidelines for Sexually Transmitted Infections

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