Postexposure Prophylaxis After Sexual Assaults: A Prospective Cohort Study

Garcia, Márcia Teixeira; Figueiredo, Rosely Moralez de; Moretti, Maria Luíza; Resende, Mariângela Ribeiro; Bedoni, Aloásio J; Papaiordanou, Priscila M. O.

doi:10.1097/01.olq.0000149785.48574.3e

Cited by 39 publications

(59 citation statements)

References 24 publications

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Section: System Development Processmentioning

confidence: 99%

“…13 A core element of both was the exploration of attitudes around gender, abuse and sexuality. A 3-day training course aimed at all types of frontline clinicians involved in post-rape care included skills for clinical evaluation, risk assessment 13 and legal documentation. The other longer course targeted practicing HIV counsellors from the facilities and focused on skills and observed practice for trauma counselling, HIV testing after rape, PEP adherence and legal information.…”

Section: System Development Processmentioning

confidence: 99%

“…The first port of call for survivors was the casualty (emergency) department, open 24 hours a day, where physical examination was conducted by a doctor, records kept and further referrals made. Emergency contraception, empirical STI treatment and starter packs of a two-drug HIV post-exposure prophylaxis (PEP) regimen 13 were kept in casualty as part of essential drugs and offered routinely to survivors on presentation. To facilitate the collection of evidence, a locally assembled "postrape" kit was supplied by the district's sterilizing and surgical department.…”

Section: Kenyan Contextmentioning

confidence: 99%

See 2 more Smart Citations

Delivering post-rape care services: Kenya's experience in developing integrated services

Kilonzo

Theobald

Nyamato

et al. 2009

Bull World Health Org

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Problem Comprehensive service delivery models for providing post-rape care are largely from resource-rich countries and do not translate easily to resource-limited settings such as Kenya, despite an identified need and high rates of sexual violence and HIV. Approach Starting in 2002, we undertook to work through existing governmental structures to establish and sustain health sector services for survivors of sexual violence. Local setting In 2003 there was a lack of policy, coordination and service delivery mechanisms for post-rape care services in Kenya. Post-exposure prophylaxis against HIV infection was not offered. Relevant changes A standard of care and a simple post-rape care systems algorithm were designed. A counselling protocol was developed. Targeted training that was knowledge-, skills-and values-based was provided to clinicians, laboratory personnel and trauma counsellors. The standard of care included clinical evaluation and documentation, clinical management, counselling and referral mechanisms. Between early 2004 and the end of 2007, a total of 784 survivors were seen in the three centres at an average cost of US$ 27, with numbers increasing each year. Almost half (43%) of these were children less than 15 years of age. Lessons learned This paper describes how multisectoral teams at district level in Kenya agreed that they would provide post-exposure prophylaxis, physical examination, sexually transmitted infection and pregnancy prevention services. These services were provided at casualty departments as well as through voluntary HIV counselling and testing sites. The paper outlines which considerations they took into account, who accessed the services and how the lessons learned were translated into national policy and the scale-up of post-rape care services through the key involvement of the Division of Reproductive Health.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español.

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Section: System Development Processmentioning

confidence: 99%

Section: System Development Processmentioning

confidence: 99%

Section: Kenyan Contextmentioning

confidence: 99%

See 1 more Smart Citation

Delivering post-rape care services: Kenya's experience in developing integrated services

Kilonzo

Theobald

Nyamato

et al. 2009

Bull World Health Org

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“…Another study, carried out in our department, showed that among women who completed six months of follow-up with the infectologist, the incidence of abandonment of chemoprophylaxis treatment of HIV was 1.5 times greater among those with incomplete elementary education when compared to those who had a university education (15) .…”

Section: Discussionmentioning

confidence: 99%

Nursing Care of Women Who Suffered Sexual Violence

Reis

Lopes

Higa

et al. 2010

Rev. Latino-Am. Enfermagem

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The aim of this study was to characterize the nursing care, provided to women who suffered sexual violence, treated at The Women's Hospital-CAISM/UNICAMP. A retrospective, descriptive study performed using 146 nursing care records of women attended from June 2006 to May 2007. The results showed that the majority of attendances occurred during the day period, that there was consistency between the interventions and the nursing diagnoses identified, and that women reported having received guidance in accordance with the protocol of the program. The nursing consultation time was greater at night (p=0.0227) and the women frequently understood the health risks resulting from sexual violence (p=0.0072), the use of antiretrovirals according to their daily activities (p=0.0397) and they were more focused on the purpose of the serology (p=0.0351). We concluded that the care provided was shown to be appropriate and of a better quality in the nightshift period. Descriptors Atención de enfermería a mujeres que sufren violencia sexualNuestro objetivo fue caracterizar la asistencia prestada por los enfermeros a las mujeres que sufrieron violencia sexual atendidas en el Hospital de la Mujer-CAISM (UNICAMP).Fue realizado un estudio retrospectivo y descriptivo con 146 fichas de atención de enfermería de mujeres atendidas entre junio de 2006 a mayo de 2007. Los resultados mostraron que la mayoría de las atenciones ocurrieron durante el período diurno, hubo coherencia entre las intervenciones y los diagnósticos de enfermería identificados y las mujeres relataron que recibieron orientaciones de acuerdo con el protocolo del programa.El tiempo de consulta de enfermería fue mayor en el período nocturno (p=0,0227) y se constató que esas mujeres frecuentemente conocían los riesgos de salud provenientes de la violencia sexual (p=0,0072), adecuaban los horarios de los antirretrovirales de acuerdo con sus actividades diarias (p=0,0397) y estaban más orientadas en cuanto a la finalidad de las serologías (p=0,0351). Concluimos que la atención prestada se mostró adecuada y con mejor calidad en el plantón nocturno.Descriptores: Violencia Sexual; Investigación en Evaluación de Enfermería; Atención de Enfermería, Salud de la Mujer.

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“…37 Zidovudine reduces the risk of a HIV infection fivefold following a needle stick injury. 38 The prevention regimen recommended in the United States consists of three medications such as tenofovir, emtricitabine and raltegravir.…”

Section: Post Exposure Prophylaxismentioning

confidence: 99%