Dattel B J, Landers D V, Coulter K, Hinton J, Sweet R L, Schachter J
Child and Adolescent Sexual Abuse Resource Center, San Francisco General Hospital, California.
Obstet Gynecol. 1988 Aug;72(2):240-2.
Cultures for Chlamydia trachomatis were obtained from 127 female adolescents (13-17 years of age) evaluated for reported sexual abuse. The rate of positive cultures for C trachomatis in this population was 14% (18 of 127). Neisseria gonorrhoeae was found in 12% (15 of 127) of these patients. All but two of the culture-positive patients admitted sexual activity before the abuse, and it is likely that most of the infections were acquired during this previous sexual activity. Concomitant infection with N gonorrhoeae was found in seven adolescents positive for C trachomatis. No adolescents in this study exhibited a positive VDRL. Victims of abuse should be tested for both gonococcal and chlamydial infection. These data show that if antibiotic prophylaxis is used for the sexually abused adolescent, it should be directed against both C trachomatis and N gonorrhoeae.
对127名接受性虐待评估的13至17岁女性青少年进行了沙眼衣原体培养。该人群中沙眼衣原体培养阳性率为14%（127例中有18例）。在这些患者中，12%（127例中有15例）检测到淋病奈瑟菌。除两名培养阳性患者外，其他所有患者均承认在遭受虐待之前有过性活动，很可能大多数感染是在之前的性活动中获得的。在7名沙眼衣原体阳性的青少年中发现了淋病奈瑟菌的合并感染。本研究中没有青少年VDRL呈阳性。应对受虐待的受害者进行淋病和衣原体感染检测。这些数据表明，如果对遭受性虐待的青少年使用抗生素预防，应针对沙眼衣原体和淋病奈瑟菌。
