Sexually transmitted diseases in rape victims.

Estreich, S.; Forster, G E; Robinson, A.

doi:10.1136/sti.66.6.433

Cited by 20 publications

(19 citation statements)

References 15 publications

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“…There is consistent evidence in literature associating HPV infection in cases involving sex crimes. In adult women who suffer sexual violence, its incidence ranges between 2% and 40% [40][41][42] . A longitudinal study, controlled and randomized, with 665 American young women found that those with a history of sexual abuse in the past 12 months were 4.5 times more likely to test positive for HPV 16 or 18 in the cervix, suggesting sexual abuse as a risk factor for infection by HPV 37 .…”

Section: Discussionmentioning

confidence: 99%

Transmissão de verrugas anogenitais em crianças e associação com abuso sexual

Drezett

Vasconcellos

Pedroso

et al. 2012

J. Hum. Growth Dev.

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Section: Discussionmentioning

confidence: 99%

Transmissão de verrugas anogenitais em crianças e associação com abuso sexual

Drezett

Vasconcellos

Pedroso

et al. 2012

J. Hum. Growth Dev.

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“…The Haven provides approaching 9% of the total number of rape examinations in England and Wales and as such, documents patterns of these sexual assaults 7 . A comprehensive database has therefore been developed for the use of both The Haven and the Metropolitan Police.…”

Section: Discussionmentioning

confidence: 99%

The Haven: a pilot referral centre in London for cases of serious sexual assault

Kerr¹

2003

BJOG: An International Journal of Obstetrics and Gynaecology

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Objective Several schemes have been reported to improve treatment of rape and to encourage reporting. The development of a comprehensive forensic and follow up service for complainants of sexual assault is described, and activities of the first year are reviewed. Design Retrospective review of case records of complainants examined in The Haven.Setting Department of Sexual Health in a London teaching hospital.Sample All case records, 676 complainants, from the first year of cases seen in The Haven.Methods Description of setting up a service in partnership between the National Health Service and the Metropolitan Police, called The Haven. Analysis of a standardised proforma used for case records. Results Mean age of complainants is 26 years (range 11-66); 6% were male. Assailant was categorised as a stranger in 52% of cases; attack involved physical violence in 50% of cases; 24% of victims had genital injuries; 39% had other physical injuries. Immediate care given at time of forensic examination included 30% of women receiving emergency contraception and 5% of clients receiving post-exposure prophylaxis against HIV. Fifty-five percent of clients returned for a sexual health screen and/or counselling. Thirty-one percent received screening for sexually transmitted infections and 12% were diagnosed with one or more infections. Conclusions Requirements following sexual assault include forensic examination, first aid, postcoital contraception, prevention and management of sexually transmitted infections and psychosocial support. Provision of these services within a sexual health setting is feasible.

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“…A standard sexual history proforma was modi® ed to gather adequate history of the assault and medico-legal documentation and to ensure > 3 months 6 (12) Not documented 3 (6) appropriate microbiological, virological and serological sampling. It was also considered that the medical consultation may be required as evidence in court, and that the consultation itself should not prove to be an additional psychological assault on the patient.…”

Section: Methodsmentioning

confidence: 99%

“…The prevalence of STIs in this group of patients varies from 3.9% to 43% 3,4 , and there is a risk of acquisition of a new STI 4 . Up to 35% of women who attend a GUM department after sexual assault have not reported it to the police 5,6 . At St Mary's Hospital declared intention to pursue legal proceedings is low and we are rarely involved in immediate acute management, that is within 24 h as shown in Tables 1 and 2.…”

Section: Introductionmentioning

confidence: 99%

A Care Package for Managing Female Sexual Assault in Genitourinary Medicine

Harrison

Murphy

1999

Int J STD AIDS

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This paper describes the development of a designated in-house service for the management of adult female victims of sexual assault within the Department of Genitourinary Medicine (GUM) at St Mary's Hospital, London. This was set up in 1994 as a need was identified by medical, nursing, psychological and health advising staff for an appropriate streamlined service which would provide comprehensive sexual health screening, psychological support and therapy and adequate medico-legal documentation within the limitations of a busy GUM clinic. A structured package of care consisting of medical and psychological protocols with training for relevant staff and a specialist in-house referral clinic was introduced. Fifty-four patients were seen during the first 17 months of the service, the notes of 48 of these were examined and relevant epidemiological and audit data are presented here. By auditing the quality of documentation before and after the introduction of the protocols specifically looking at the appropriateness and comprehensiveness of the sexually transmitted diseases screen and the medico-legal documentation it was clear that the quality of care to these patients was improved. We present here the development of these protocols, a detailed description of the protocols themselves and the method of their implementation.

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Sexually transmitted diseases in rape victims.

Cited by 20 publications

References 15 publications

Transmissão de verrugas anogenitais em crianças e associação com abuso sexual

Transmissão de verrugas anogenitais em crianças e associação com abuso sexual

The Haven: a pilot referral centre in London for cases of serious sexual assault

A Care Package for Managing Female Sexual Assault in Genitourinary Medicine

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