Paeds Vivas · child-safety-and-social-paediatrics
Sexually transmitted infections and child sexual abuse — branching viva
Branching viva on grading an STI as evidence of sexual contact, the trauma-informed forensic evaluation, the evidence window, HIV post-exposure prophylaxis, mandated reporting and multidisciplinary safety planning.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in the emergency department. The examiner will move from safety and a positive STI result, to interpretation and perinatal routes, the forensic examination, prophylaxis, and a mandated-reporting and safety plan.
Stem
The examiner will test whether you can interpret an STI as graded forensic evidence and run a trauma-informed, safety-first evaluation of suspected child sexual abuse. [1]
References8ShowHide
- [1]Adams JA, Kellogg ND, Farst KJ, Harper NS, Palusci VJ, Frasier LD Updated Guidelines for the Medical Assessment and Care of Children Who May Have Been Sexually Abused. J Pediatr Adolesc Gynecol, 2016.PMID 26220352
- [2]Kellogg N The evaluation of sexual abuse in children. Pediatrics, 2005.PMID 16061610
- [3]Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep, 2021.PMID 34292926
- [4]Seña AC, Hsu KK, Kellogg N, et al. Sexual Assault and Sexually Transmitted Infections in Adults, Adolescents, and Children. Clin Infect Dis, 2015.PMID 26602623
- [5]Girardet RG, Lemme S, Biason TA, Bolton K, Lahoti S HIV post-exposure prophylaxis in children and adolescents presenting for reported sexual assault. Child Abuse Negl, 2009.PMID 19324415
- [6]Hammerschlag MR Use of nucleic acid amplification tests in investigating child sexual abuse. Sex Transm Infect, 2001.PMID 11402219
- [7]Christian CW, Lavelle JM, De Jong AR, Loiselle J, Brenner L, Joffe M Forensic evidence findings in prepubertal victims of sexual assault. Pediatrics, 2000.PMID 10878156
- [8]Hailes HP, Yu R, Danese A, Fazel S Long-term outcomes of childhood sexual abuse: an umbrella review. Lancet Psychiatry, 2019.PMID 31519507