Interpretation of Medical Findings in Suspected Child Sexual Abuse: An Update for 2018

Joyce A. Adams, Karen J. Farst, Nancy D. Kellogg

Research output: Contribution to journalReview articlepeer-review

23 Scopus citations

Abstract

Most sexually abused children will not have signs of genital or anal injury, especially when examined nonacutely. A recent study reported that only 2.2% (26 of 1160) of sexually abused girls examined nonacutely had diagnostic physical findings, whereas among those examined acutely, the prevalence of injuries was 21.4% (73 of 340). It is important for health care professionals who examine children who might have been sexually abused to be able to recognize and interpret any physical signs or laboratory results that might be found. In this review we summarize new data and recommendations concerning documentation of medical examinations, testing for sexually transmitted infections, interpretation of lesions caused by human papillomavirus and herpes simplex virus in children, and interpretation of physical examination findings. Updates to a table listing an approach to the interpretation of medical findings is presented, and reasons for changes are discussed.

Original languageEnglish (US)
Pages (from-to)225-231
Number of pages7
JournalJournal of Pediatric and Adolescent Gynecology
Volume31
Issue number3
DOIs
StatePublished - Jun 2018

Keywords

  • Chlld sexual abuse
  • Medical findings
  • Sexually transmitted diseases

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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