EPIDEMIOLOGY OF ADULT SEXUALLY-TRANSMITTED DISEASE AGENTS IN CHILDREN BEING EVALUATED FOR SEXUAL ABUSE

被引:66
作者
INGRAM, DL [1 ]
EVERETT, VD [1 ]
LYNA, PR [1 ]
WHITE, ST [1 ]
ROCKWELL, LA [1 ]
机构
[1] UNIV N CAROLINA,DEPT PEDIAT,DIV INFECT DIS,CHAPEL HILL,NC 27514
关键词
SEXUALLY TRANSMITTED DISEASES IN CHILDREN; SEXUAL ABUSE; NEISSERIA-GONORRHOEAE; CHLAMYDIA-TRACHOMATIS; CONDYLOMA ACUMINATA; TREPONEMA-PALLIDUM; HERPES SIMPLEX VIRUS; TRICHOMONAS-VAGINALIS; HUMAN PAPILLOMAVIRUS; BACTERIAL VAGINOSIS;
D O I
10.1097/00006454-199211110-00008
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
This prospective study describes the epidemiology of adult sexually transmitted disease agents in 1538 children ages 1 to 12 years being evaluated for possible sexual abuse. Infections with these agents were related to the presence or absence of a history of sexual contact. Neisseria gonorrhoeae (GC) was found in 2.8% (41 of 1469); human papillomavirus presenting as condyloma acuminata, 1.8%; Chlamydia trachomatis, 1.2% (17 of 1473); Treponema pallidum (syphilis), 0.1% (1 of 1263); and herpes simplex virus, 0.1%. Overall a history of sexual contact was present in 83% of children with N. gonorrhoeae; condyloma acuminata, 43%; Chlamydia trachomatis, 94%; syphilis, 0%; and herpes simplex virus, 50%. Selected vaginal discharges were examined for Trichomonas vaginalis and bacterial vaginosis. In children comprehending questions regarding sexual contact (i.e. were "verbal"), 89% with N. gonorrhoeae, 100% with Chlamydia trachomatis and 63% with condyloma acuminata had a history of sexual contact, indicating that in "verbal" children any infection with N. gonorrhoeae or C. trachomatis was highly associated with sexual contact.
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页码:945 / 950
页数:6
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