TY - JOUR
T1 - Sexually Transmitted Infection Considerations Following Sexual Assault
AU - Dutra, Karley
AU - Lewis, Ariana L.
AU - Counts, Rachel
N1 - Publisher Copyright:
© 2025 Wolters Kluwer Health, Inc.
PY - 2025/6/1
Y1 - 2025/6/1
N2 - Sexual assault is common, disproportionately impacting women, persons of color, and young adults. Evaluation should include a history and exam, collection of forensic evidence, and evaluation for mental health disorders. Management of sexually transmitted infections (STI) is important, as 15% will acquire an STI. Prophylaxis is recommended for gonorrhea, chlamydia, and, for individuals with vaginas, trichomonas. HIV and hepatitis B post-exposure prophylaxis are indicated in high-risk scenarios. HPV vaccination is recommended. Follow-up and lab monitoring is indicated for up to 6 months. We aim to summarize up-to-date evidence on the screening, evaluation, and management of STIs following sexual assault.
AB - Sexual assault is common, disproportionately impacting women, persons of color, and young adults. Evaluation should include a history and exam, collection of forensic evidence, and evaluation for mental health disorders. Management of sexually transmitted infections (STI) is important, as 15% will acquire an STI. Prophylaxis is recommended for gonorrhea, chlamydia, and, for individuals with vaginas, trichomonas. HIV and hepatitis B post-exposure prophylaxis are indicated in high-risk scenarios. HPV vaccination is recommended. Follow-up and lab monitoring is indicated for up to 6 months. We aim to summarize up-to-date evidence on the screening, evaluation, and management of STIs following sexual assault.
KW - HIV post-exposure prophylaxis
KW - chlamydia
KW - gonorrhea
KW - sexual assault
KW - sexually transmitted infections
KW - trauma-informed care
UR - http://www.scopus.com/inward/record.url?scp=85219743994&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85219743994&partnerID=8YFLogxK
U2 - 10.1097/GRF.0000000000000928
DO - 10.1097/GRF.0000000000000928
M3 - Article
C2 - 39962703
AN - SCOPUS:85219743994
SN - 0009-9201
VL - 68
SP - 223
EP - 231
JO - Clinical Obstetrics and Gynecology
JF - Clinical Obstetrics and Gynecology
IS - 2
ER -