Smith Tanya, Chauvin-Kimoff Laurel, Baird Burke, Ornstein Amy
Canadian Paediatric Society, Acute Care Committee, Child and Youth Maltreatment Section, Ottawa, Ontario.
Paediatr Child Health. 2020 Apr;25(3):180-194. doi: 10.1093/pch/pxaa019. Epub 2020 Apr 10.
Child sexual abuse is an important and not uncommon problem. Children who have been sexually abused may present to a physician's office, urgent care centre, or emergency department for medical evaluation. A medical evaluation can provide reassurance to both child and caregiver, identify care needs, and offer an accurate interpretation of findings to the justice and child welfare systems involved. Given the potential medico-legal implications of these assessments, the performance of a comprehensive evaluation requires both current knowledge and clinical proficiency. This position statement presents an evidence-based, trauma-informed approach to the medical evaluation of prepubertal children with suspected or confirmed sexual abuse.
儿童性虐待是一个重要且并非罕见的问题。遭受性虐待的儿童可能会前往医生办公室、紧急护理中心或急诊科进行医学评估。医学评估可以让儿童和照顾者都安心，确定护理需求，并为相关的司法和儿童福利系统提供对检查结果的准确解读。鉴于这些评估可能涉及的医学法律问题，进行全面评估需要具备当前的知识和临床专业技能。本立场声明提出了一种基于证据、考虑创伤因素的方法，用于对疑似或确诊遭受性虐待的青春期前儿童进行医学评估。
