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性侵犯与性传播疾病:成人及儿童的检测与管理

Sexual assault and sexually transmitted diseases: detection and management in adults and children.

作者信息

Schwarcz S K, Whittington W L

机构信息

Division of Sexually Transmitted Diseases, Centers for Disease Control, Atlanta, Georgia 30333.

出版信息

Rev Infect Dis. 1990 Jul-Aug;12 Suppl 6:S682-90. doi: 10.1093/clinids/12.supplement_6.s682.

DOI:10.1093/clinids/12.supplement_6.s682
PMID:2201079
Abstract

Sexual assault is a frequently occurring violent crime. Sexually transmitted diseases (STDs) may be acquired during assault. Reported rates of gonorrhea and syphilis in adult victims range from 6% to 12% and from 0% to 3%, respectively. The risk of acquiring other STDs cannot be quantified, although the risk of infection with Chlamydia trachomatis appears highest. In abused children, gonococcal and chlamydial infections are the most frequent findings. In both adults and children, postassault infections with viral agents of STDs, including herpes simplex viruses, hepatitis B virus, and human immunodeficiency virus, have been described. Sensitive, competent care for victims of sexual abuse includes evaluation for STDs soon after the assault and during follow-up.

摘要

性侵犯是一种常见的暴力犯罪。性传播疾病(STD)可能在性侵犯过程中感染。成年受害者中淋病和梅毒的报告感染率分别为6%至12%和0%至3%。虽然感染沙眼衣原体的风险似乎最高,但感染其他性传播疾病的风险无法量化。在受虐待儿童中,淋球菌和衣原体感染是最常见的发现。在成人和儿童中,均有关于性侵犯后感染性传播疾病病毒病原体的描述,包括单纯疱疹病毒、乙型肝炎病毒和人类免疫缺陷病毒。对性虐待受害者进行敏感、妥善的护理包括在性侵犯后不久及随访期间对性传播疾病进行评估。

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