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  • Title: Child sexual abuse examination: is there a need for routine screening for N gonorrhoeae and C trachomatis?
    Author: Simmons KJ, Hicks DJ.
    Journal: J Pediatr Adolesc Gynecol; 2005 Oct; 18(5):343-5. PubMed ID: 16202938.
    Abstract:
    PURPOSE: To determine the yield of routine vaginal cultures for Neisseria gonorrhoeae and Chlamydia trachomatis from girls evaluated following sexual abuse. METHODS: Retrospective chart review evaluating results of cultures that were obtained from 2008 prepubertal girls seen within 72 hours following an assault over two periods of 3 years each. RESULTS: It was found that only 16 (0.8%) of cultures were positive for either gonorrhea or chlamydia. All but one of the prepubertal girls who had positive vaginal cultures for sexually transmitted disease had signs of acute vulvovaginitis. CONCLUSION: Routine vaginal cultures in asymptomatic pre-pubertal girls have a very low yield. Prospective studies are required to change current protocols for the evaluation of child victims of sexual abuse.
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