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Epidemiology of adult sexually transmitted disease agents in children being evaluated for sexual abuse
- Source :
- The Pediatric Infectious Disease Journal. 11:945-950
- Publication Year :
- 1992
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 1992.
-
Abstract
- This prospective study describes the epidemiology of adult sexually transmitted disease agents in 1538 children ages 1 to 12 years being evaluated for possible sexual abuse. Infections with these agents were related to the presence or absence of a history of sexual contact. Neisseria gonorrhoeae (GC) was found in 2.8% (41 of 1469); human papillomavirus presenting as condyloma acuminata, 1.8%; Chlamydia trachomatis, 1.2% (17 of 1473); Treponema pallidum (syphilis), 0.1% (1 of 1263); and herpes simplex virus, 0.1%. Overall a history of sexual contact was present in 83% of children with N. gonorrhoeae; condyloma acuminata, 43%; Chlamydia trachomatis, 94%; syphilis, 0%; and herpes simplex virus, 50%. Selected vaginal discharges were examined for Trichomonas vaginalis and bacterial vaginosis. In children comprehending questions regarding sexual contact (i.e. were "verbal"), 89% with N. gonorrhoeae, 100% with Chlamydia trachomatis and 63% with condyloma acuminata had a history of sexual contact, indicating that in "verbal" children any infection with N. gonorrhoeae or C. trachomatis was highly associated with sexual contact.
- Subjects :
- Microbiology (medical)
Child abuse
Sexually transmitted disease
medicine.medical_specialty
Pathology
Sexually Transmitted Diseases
urologic and male genital diseases
medicine.disease_cause
Prevalence
Humans
Medicine
Prospective Studies
Child
business.industry
Obstetrics
Infant
Child Abuse, Sexual
Condyloma Acuminatum
medicine.disease
female genital diseases and pregnancy complications
Infectious Diseases
Sexual abuse
Child, Preschool
Pediatrics, Perinatology and Child Health
Neisseria gonorrhoeae
Syphilis
Bacterial vaginosis
business
Chlamydia trachomatis
Subjects
Details
- ISSN :
- 08913668
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- The Pediatric Infectious Disease Journal
- Accession number :
- edsair.doi.dedup.....8529300545d0eb6501116b6010e3e591