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Vol. 54. Núm. 3.
Páginas 267-271 (marzo 2001)
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Vol. 54. Núm. 3.
Páginas 267-271 (marzo 2001)
Acceso a texto completo
Abuso sexual en la infancia: prevención de las enfermedades de transmisión sexual
Sexual abuse in children: prevention of sexually transmitted diseases
Visitas
14959
O. García Algar
Autor para correspondencia
90458@imas.imim.es

Correspondencia: Servicio de Pediatría. Hospital del Mar. P.° Marítimo, 25-29. 08003 Barcelona
, A. Mur Sierra
Servicio de Pediatría. Hospital del Mar. Barcelona
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Estadísticas

En el caso de un niño que sufre un abuso sexual hay que establecer un protocolo de actuación. Existe un riesgo de infección por diferentes microorganismos causantes de enfermedades de transmisión sexual (ETS): virus de la hepatitis B (VHB) y C (VHC) y de la inmunodeficiencia humana (VIH), gonococo, Chlamydia trachomatis, sífilis, virus del herpes simple, vaginosis bacteriana, papillomavirus, Trichomonas vaginalis, Pediculus pubis. Por lo tanto, hay que poner en marcha un seguimiento con controles serológicos periódicos hasta 1 año después del abuso y debe aplicarse la profilaxis postexposición frente a algunas de estas enfermedades. Además, en las niñas que han tenido la menarquia, debe iniciarse una contraconcepción de urgencia.

Abuso sexual:
Profilaxis postexposición
Enfermedades de transmisión sexual
Virus de la inmunodeficiencia humana
Contraconcepción

When a child suffers from sexual abuse clinical guidelinesmust be established. There is a risk of infection from the following agents responsible for sexually transmitted diseases: the hepatitis B, hepatitis C and human immunodeficiency viruses, Neisseria gonorrhoeae, Chlamydia trachomatis, syphilis, herpes simplex virus, bacterial vaginosis, papillomavirus, Trichomonas vaginalis and Pediculus pubis. Therefore, a follow-up with periodic serological monitoring for 1 year and immunoprophylaxis or chemoprophylaxis for some of these diseases should be started. Postpuberal girls should receive emergency contraception.

Key words:
Sexual abuse
Postexposure prophylaxis
Sexually transmitted diseases
Human immunodeficiency virus
Contraception
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Bibliografía
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Copyright © 2001. Asociación Española de Pediatría
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