Glaser J B, Hammerschlag M R, McCormack W M
Department of Medicine, State University of New York Health Science Center, Brooklyn.
Rev Infect Dis. 1989 Mar-Apr;11(2):246-54. doi: 10.1093/clinids/11.2.246.
Rape is a violent crime that is increasing rapidly in incidence. Victims can include male and female adults and children. These victims may be at risk for the acquisition of many sexually transmitted conditions. The risk will vary with the sex and socioeconomic status of the assailant as well as with the nature of the sexual contact. Infections with Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, herpes simplex virus, human papillomavirus, and Treponema pallidum have all been found to occur following sexual assault of female adults or children. Although data are lacking, male victims of homosexual rape are presumably at risk for the acquisition of the above infections as well as hepatitis B, the acquired immunodeficiency syndrome, and other infections prevalent among homosexual men. All victims of sexual assault should undergo a comprehensive physical examination with a complete history. Baseline and follow-up laboratory tests should be performed. In some instances, prophylactic administration of antimicrobial agents may be warranted.
强奸是一种暴力犯罪，其发生率正在迅速上升。受害者包括成年男女和儿童。这些受害者可能有感染多种性传播疾病的风险。风险会因袭击者的性别和社会经济地位以及性接触的性质而有所不同。在成年女性或儿童遭受性侵犯后，均已发现感染淋病奈瑟菌、沙眼衣原体、阴道毛滴虫、单纯疱疹病毒、人乳头瘤病毒和梅毒螺旋体。尽管缺乏相关数据，但男同性恋强奸的男性受害者据推测也有感染上述疾病以及乙型肝炎、获得性免疫缺陷综合征和其他在男同性恋者中流行的感染的风险。所有性侵犯受害者都应接受全面的体格检查并记录完整病史。应进行基线和随访实验室检查。在某些情况下，可能有必要预防性使用抗菌药物。
