PMID: 9164804Jun 1, 1997Paper

Vaginal gonococcal cultures in sexual abuse evaluations: evaluation of selective criteria for preteenaged girls

Pediatrics
D L IngramS T White-Sims

Abstract

Accurate selective criteria could limit the number of vaginal cultures for Neisseria gonorrhoeae performed on preteenaged girls as part of their sexual abuse evaluations. This study was performed to determine whether the published selective criteria by the American Academy of Pediatrics (AAP) Committee on Child Abuse and Neglect and by Siegel et al would have accurately detected all cases of vaginal gonococcal infections in our large study population. We prospectively studied girls, ages 1 to 12 years, who were referred to our Child Sexual Abuse Team (CSAT) at Wake Medical Center in Raleigh, NC, between July 1, 1976 to July 1, 1996, for sexual abuse evaluations which were performed using a protocol that included collecting historical information, a sexual abuse interview, and a detailed genital examination which included a vaginal culture for N gonorrhoeae. Our study population consisted of 2898 girls of whom 2731 (94%) had vaginal cultures successfully performed for N gonorrhoeae. There were 84 girls with vaginal gonococcal infections, 80 of whom had a vaginal discharge. The four girls without a vaginal discharge included two with a history of having vaginal intercourse with an alleged perpetrator with gonorrhea, one with N go...Continue Reading

Citations

Feb 10, 2010·World Journal of Pediatrics : WJP·Lyubov A MatytsinaYuriy A Gurkin
Feb 27, 2003·Journal of Pediatric and Adolescent Gynecology·David Muram
Aug 11, 2006·Journal of Paediatrics and Child Health·Patrick Kelly, Jean Koh
Dec 3, 2009·Current Opinion in Pediatrics·Kirsten Bechtel
Aug 26, 2006·Current Opinion in Obstetrics & Gynecology·Robert Allan Shapiro, Kathi Lynn Makoroff
May 5, 2007·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Linda C Lewin
Oct 2, 2003·Pediatric Case Reviews·Hughes Evans
Dec 16, 1998·Sexually Transmitted Infections·M R Hammerschlag

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