Suspected child sexual abuse with a positive STI — forensic evaluation, prophylaxis and safety planning OSCE

Station objectives

1. Grade an STI as evidence of sexual contact while excluding non-sexual routes, especially perinatal acquisition. ^{[1] [6]}
2. Run a trauma-informed, safety-first evaluation with consent, chaperone and forensic documentation discipline. ^{[1] [2]}
3. Decide on HIV post-exposure prophylaxis, STI prophylaxis and emergency contraception by risk and timing. ^{[5] [3]}
4. Frame conditional confidentiality and complete the mandated-reporting and multidisciplinary safety plan. ^{[2] [8]}