[Postexposure prophylaxis after sexual assault].

Medizinische Klinik, Intensivmedizin und Notfallmedizin
Veit-Simon Eckle, Florian Alius

Abstract

Relevant exposure to important infectious pathogens can occur during sexual assault. If there is a latent period between exposure and illness due to an infection with pathogens, a postexposure prophylaxis can effectively inhibit the infection. In the present review article possible postexposure prophylaxis treatment for tetanus, hepatitis B, HIV and hepatitis A are discussed with a focus on the time window within which a specific regimen should be started and in which temporal order. These recommendations are based on the epidemiologic conditions in Germany. Moreover, the two most frequent sexually transmitted bacterial infections, namely Neisseria gonorrhoea and Chlamydia trachomatis are presented, as victims of sexual assault in particular often do not return for control investigations in an outpatient setting.

References

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Mar 13, 2020·Journal of Paediatrics and Child Health·Michael E Jones, Joanna M Tully
May 21, 2020·The New England Journal of Medicine·Deborah A Williamson, Marcus Y Chen

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