Sexually transmitted diseases in children: introduction.

Sexually Transmitted Diseases in Children

“…However, there is a paucity of data on the epidemiology of these diseases in children (3). Recent studies report an increase in the prevalence of pediatric STDs from 12 to 28% (4, 5). Hence, we felt it important to report the clinical profile of 127 children with different STDs in whom sexual abuse and/or sexual promiscuity played a major role in contracting the disease.…”

Perfil clínico-epidemiológico das doenças sexualmente transmissíveis em crianças atendidas em um centro de referência na cidade de Manaus, Amazonas, Brasil

“…29 Therefore, the presence of condyloma in children is not always a consequence of sexual abuse, since different forms of transmission have to be taken into account as well as the age of the child, the incubation period, the site of the lesion, the parents' history of genital warts, the presence of nongenital warts on the child and/or family members, the type of HPV and evidence of any changes in the psychosocial behavior of the child. 9,30 Diseases that are currently rare such as venereal lymphogranuloma and donovanosis were not found in this study population.…”

“…7 Accidental transmission, either by fomites, physical contact or self-inoculation, is rare in children, as reported by Neinstein et al (1984) and Estreich & Foster (1992). 8,9 Therefore, two factors are essential in the management of STDs in children: early and accurate diagnosis and investigation into the mode of transmission to evaluate the possibility of sexual abuse.…”

Child sexual abuse--the interface with genitourinary medicine.

“…Previous articles in this series have considered the significance of genital infections in depth. 60 Referral to a psychiatrist or psychologist may be necessary to prevent or treat post traumatic stress disorder. Ethical dilemmas The interface between medicine and law is a complex area.…”