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Federación Mexicana de Ginecología y Obstetricia, A.C.

2008, Number 07

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Ginecol Obstet Mex 2008; 76 (07)

Gynecological clinical study in girls and adolescent victims of sexual abuse

Sam SS, Gayón VE, García PCA

Language: Spanish
References: 25
Page: 404-416
PDF size: 590.83 Kb.


ABSTRACT

In spite of a very important under-registration, sexual abuse represents a social and public health problem worldwide. In Mexico, estimated prevalence of sexual abuse in women is 17.3%, half of them in youngsters under 15 years old. Most of cases have a late gynecological evaluation, due to a delay in a formal complaint. Gynecologist or pediatrician are the specialists who most frequently perform the genital examination of girls suspected of sexual abuse, due to this a complete knowledge of the topic is necessary in order to make an accurate diagnosis, register the physical findings and give prompt medical and psychological treatment as well as follow up to the patient. Despite the low risk of acquiring a sexually transmitted infection, it is important to evaluate the use of prophylactic treatment and the prevention of unwanted pregnancy with emergency contraception. Big efforts are being made by preventive programs on sexual abuse, sexually transmitted infections and unwanted pregnancy, all of which are serious problems in Mexican children and youths, and should constitute a fundamental part of the public politics on sexual health.


REFERENCES

  1. Valdez RR. La opinión del personal de salud sobre la violencia hacia las mujeres. Violencia contra las mujeres 2003. Un reto para la salud pública. Informe ejecutivo de la Encuesta Nacional de Violencia Contra las Mujeres. Cuernavaca: Instituto Nacional de Salud Pública, 2004;p:26.

  2. Olaiz G, Rojas R, Valdez R, Franco A, Palma O. Prevalencia de diferentes tipos de violencia en usuarias del Sector Salud en México. Salud Publica Mex 2006;48(supl 2):S221-S31.

  3. Perea-Martínez A, Loredo-Abdalá A, Monroy-Villafuerte A. El abuso sexual: del silencio ignominioso a una realidad estigmatizante. En: Loredo-Abdalá A, editor. Maltrato en niños y adolescentes. México: Editores de Textos Mexicanos, 2004;pp:75-102.

  4. Emans SJ, Laufer MR, Goldstein DP. Pediatric and adolescent gynecology. 4th ed. Philadelphia: Lippincott-Raven Publishers, 1997;pp:751-94.

  5. Adams JA. Medical evaluation of suspected child sexual abuse. J Pediatr Adolesc Gynecol 2004;17(3):191-7.

  6. Bernard D, Peters M, Makoroff K. The evaluation of suspected pediatric sexual abuse. Clin Ped Emerg Med 2006;7(3):161-9.

  7. Muram D. The medical evaluation of sexually abused children. J Pediatr Adolesc Gynecol 2003;16(1):5-14.

  8. Adams JA, Harper K, Knudson S, Revilla J. Examination findings in legally confirmed child sexual abuse: it’s normal to be normal. Pediatrics 1994;94(3):310-7.

  9. Siegel RM, Schubert CJ, Myers PA, Shapiro RA. The prevalence of sexually transmitted diseases in children and adolescents evaluated for sexual abuse in Cincinnati: rationale for limited STD testing in prepubertal girls. Pediatrics 1995;96(6):1090-4.

  10. Dirección General de Epidemiología de la Secretaria de Salud de México, 2007. [Consultado en enero de 2008] Disponible en: http://www.dgepi.salud.gob.mx/dge.htm

  11. Registro Nacional de Casos de SIDA. Dirección General de Epidemiología, SSA. [Consultado en enero de 2008] Disponible en: http://www.ssa.gob.mx/conasida

  12. Workowski KA, Levine WC. Sexually Transmitted Diseases Treatment Guidelines. Centers for Disease Control. May 10/MMWR 2002;51(RR06);1-80.

  13. Lane WG. Diagnosis and management of physical abuse in children. Clin Fam Pract. 2003;5(2);493-9.

  14. OMS. Guías para el tratamiento de las infecciones de transmisión sexual. Organización Mundial de la Salud. Ginebra: OMS, 2005;pp:1-96. Disponible en: www.who.int/hiv/pub/sti/STIguidelines2003_es.pdf

  15. Norma Oficial Mexicana NOM-039-SSA2-2002, Para la prevención y control de las infecciones de transmisión sexual. Disponible en: http://www.salud.gob.mx/unidades/cdi/nom/039ssa202.html

  16. Norma Oficial Mexicana NOM-190 SSA1-1999, para la prestación de servicios de salud, Criterios para la atención médica de la violencia familiar. Disponible en: http://www.salud.gob.mx/unidades/cdi/nom/190ssa19.html

  17. Obalek S, Misiewica J, Jablonska S, Favre M, Orth G. Childhood condyloma acuminatum: association with genital coetaneous human papillomaviruses. Pediatr Dermatol 1993;10(2):101-6.

  18. Gutman LT, Herman-Giddens ME, Phelps WC. Transmission of human genital papillomavirus disease: comparison of data from adults and children. Pediatrics 1993;91(1):31-38.

  19. Marcoux D, Nadeau K, McCuaig C, Powell J, Oligny LL. Pediatric anogenital warts: a 7 year review of children referred to a tertiary-care hospital in Montreal, Canada. Pediatr Dermatol 2006;23(3):199-207.

  20. Smith EM, McCune KK, Horbach N, Dattel BJ. Incidence and clinical correlates of human papillomaviruses disease in a pediatric population referred for evaluation of sexual abuse. J Pediatr Adolesc Gynecol 1993;6:20-24.

  21. Hornor G. Ano-genital warts in children. Sexual abuse or not? J Pediatr Health Care 2004;18(4):165-70.

  22. Gayón-Vera E, Sam-Soto S. Infecciones de transmisión sexual en niñas en situación de calle. En: Casanova-Román G, Ortiz-Ibarra FJ, Reyna-Figueroa J, editores. Infecciones de transmisión sexual. México: Alfil, 2004;pp:333-54.

  23. Sam Soto S, Gayón Vera E. Guía practica para el abordaje y manejo de lesiones ano-genitales por virus de papiloma humano en adolescentes. Acta Pediatr Mex 2006;27(3):151-6.

  24. Venegas Ochoa U, Muñoz Pérez E, Navarro Solares A. Violenciacontra la mujer y medicina familiar. Ginecol Obstet Mex 2007;75:373-8.

  25. Collado Peña S. Violencia familiar: una aproximación desde la ginecología y obstetricia. Ginecol Obstet Mex. 2005;73:250-60.




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