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Value of follow-up examinations of children and adolescents evaluated for sexual abuse and assault

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dc.contributor.author Gavril, A. R., Kellogg, N. D., & Nair, P.
dc.date.accessioned 2014-12-05T20:55:08Z
dc.date.available 2014-12-05T20:55:08Z
dc.date.issued 2012
dc.identifier.citation Gavril, A. R., Kellogg, N. D., & Nair, P. (2012). Value of follow-up examinations of children and adolescents evaluated for sexual abuse and assault. Pediatrics, 129(2), 282-289. en_US
dc.identifier.uri http://pediatrics.aappublications.org/content/129/2/282.full.pdf
dc.identifier.uri http://hdl.handle.net/11212/1926
dc.description.abstract The purpose of this study was to determine whether follow-up examinations of suspected victims of child sexual abuse influence medical diagnosis or treatment. METHODS: A retrospective chart review of patients with initial and followup examinations (examinations 1 and 2, respectively) over a 5-year study period was conducted. Patient and abuse characteristics, interval between examinations and abuse, and examiner experience levels were collected; examination findings and test results for sexually transmitted infections (STIs) were compared for examinations 1 and 2. RESULTS: Among 727 patients, examination 2 resulted in a change in interpretation of trauma likelihood in 129 (17.7%) patients and identified STIs in 47 (6.5%) patients. Changes in trauma likelihood and detection of additional STIs during follow-up examinations were more likely in adolescent, female, and sexually active patients and those with a history of genital2genital contact, unknown examination 1 findings, or drug-facilitated sexual assault. Although examination 2 was less likely to affect the interpretation of trauma likelihood and STIs in preadolescent patients, a change in interpretation of trauma likelihood was noted for 49 (15.5%) of these patients, and 16 (5.1%) were diagnosed with a new STI on examination 2. The level of clinician experience during examination 1 did affect the likelihood of changes in examination findings during examination 2. CONCLUSIONS: Follow-up examinations by specialists affected the interpretation of trauma and detection of STIs in ∼23% of pediatric patients undergoing sexual abuse assessments. en_US
dc.language.iso en_US en_US
dc.publisher Pediatrics en_US
dc.subject medical examination en_US
dc.subject child abuse en_US
dc.subject sexual abuse en_US
dc.subject adolescents en_US
dc.title Value of follow-up examinations of children and adolescents evaluated for sexual abuse and assault en_US
dc.type Article en_US


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