Genital gonorrhoea in children: determining the source and mode of infection

Whaitiri, S.; Kelly, Patrick J.

doi:10.1136/adc.2009.162909

Cited by 18 publications

(18 citation statements)

References 22 publications

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“…Current US and UK guidance recommends concern but reflects uncertainty about the implications of a diagnosis of genital herpes 2 3 5 6. It is unlikely there will ever be the clarity compared with STIs such as gonorrhoea,20 but improved adherence to published guidance would increase our understanding of modes of transmission if this were accompanied by systematic data collection as carried out in this study.…”

Section: Discussionmentioning

confidence: 96%

Genital herpes in children under 11 years and investigations for sexual abuse

Reading

Hughes²,

Hill

et al. 2011

Archives of Disease in Childhood

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Genital herpes in children under 11 years is rare. Almost a third of children diagnosed with genital herpes did not have appropriate virological investigation and few were screened for other STIs. Around a quarter of cases were referred to child protection agencies for further investigation, which limits any inferences in this study about mode of transmission in children. Sexual abuse guidance should emphasise the need for thorough assessment and investigation in cases of genital herpes in children.

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Section: Discussionmentioning

confidence: 96%

Genital herpes in children under 11 years and investigations for sexual abuse

Reading

Hughes²,

Hill

et al. 2011

Archives of Disease in Childhood

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“…It is uncommonly seen in sexually abused children, however, when children positive for N gonorrhoea have been evaluated for CSA, between 36% and 75% of children were abused. This recommendation has been confirmed recently in a case note review 86. Penetrative sexual contact is the likeliest mode of transmission in prepubertal children with C trachomatis.…”

Section: How To Approach the Child With A Sexual Health Problemmentioning

confidence: 71%

Management of sexually transmitted infections in pubertal children

Manikam¹,

Rogstad

Singh

et al. 2011

Arch Dis Child Educ Pract Ed

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Sexually transmitted infections (STI) comprise a variety of infections transmissible through sexual contact. Mutually consenting sexual relationships have become commonplace in adolescence and sexual abuse or exploitation awareness has risen, resulting in increased presentations of children with sexual health concerns. Difficulties persist in diagnosing and managing STIs in children. With increased emphasis on paediatrician's involvement in transitional care, competence in sexual history taking and clinical presentation recognition remains essential. Additionally, an awareness of strengths and limitations of diagnostic modalities needs to be present. Furthermore, specific additional issues in this age group such as independent consent for diagnosis and treatment, fear of pregnancy and privacy and confidentiality concerns should be addressed carefully. Failure to address these issues may lead to disengagement with health services resulting in potentially adverse short- and long-term health and social consequences in young persons. This review aims to provide an overview of an approach to diagnosing and managing a pubertal child with an STI and the consideration of the unique issues surrounding children's care.

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“…[7]. This study is important because of the level of detail provided, enabling a deeper understanding of the data.…”

Section: Study Design Data Quality and Testing Methodologymentioning

confidence: 98%