Abuso sexual en la infancia: prevención de las enfermedades de transmisión sexual
Sexual abuse in children: prevention of sexually transmitted diseases
O. García Algar
, A. Mur Sierra
Autor para correspondencia
90458@imas.imim.es
Correspondencia: Servicio de Pediatría. Hospital del Mar. P.° Marítimo, 25-29. 08003 Barcelona
Correspondencia: Servicio de Pediatría. Hospital del Mar. P.° Marítimo, 25-29. 08003 Barcelona
Servicio de Pediatría. Hospital del Mar. Barcelona
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"apellidos" => "Jaimovich" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403301775248?idApp=UINPBA00005H" "url" => "/16954033/0000005400000003/v1_201307051543/S1695403301775248/v1_201307051543/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Abuso sexual en la infancia: prevención de las enfermedades de transmisión sexual" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "267" "paginaFinal" => "271" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "O. García Algar, A. Mur Sierra" "autores" => array:2 [ 0 => array:4 [ "nombre" => "O." "apellidos" => "García Algar" "email" => array:1 [ 0 => "90458@imas.imim.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Mur Sierra" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Pediatría. Hospital del Mar. Barcelona" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Pediatría. Hospital del Mar. P.° Marítimo, 25-29. 08003 Barcelona" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sexual abuse in children: prevention of sexually transmitted diseases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-10-31" "fechaAceptado" => "2000-11-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Abuso sexual" "identificador" => "xpalclavsec186607" "palabras" => array:4 [ 0 => "Profilaxis postexposición" 1 => "Enfermedades de transmisión sexual" 2 => "Virus de la inmunodeficiencia humana" 3 => "Contraconcepción" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186608" "palabras" => array:5 [ 0 => "Sexual abuse" 1 => "Postexposure prophylaxis" 2 => "Sexually transmitted diseases" 3 => "Human immunodeficiency virus" 4 => "Contraception" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">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, <span class="elsevierStyleItalic">Chlamydia trachomatis</span>, sífilis, virus del herpes simple, vaginosis bacteriana, papillomavirus, <span class="elsevierStyleItalic">Trichomonas vaginalis, Pediculus pubis</span>. 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.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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, <span class="elsevierStyleItalic">Neisseria gonorrhoeae, Chlamydia trachomatis</span>, syphilis, herpes simplex virus, bacterial vaginosis, papillomavirus, <span class="elsevierStyleItalic">Trichomonas vaginalis</span> 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.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "American Academy of Pediatrics. 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"referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Colaborativo Español para la Infección VIH Pediátrica. Manual práctico de la infección por VIH en el niño. Barcelona: Prous Science, 2000; 565-586" ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/16954033/0000005400000003/v1_201307051543/S169540330177525X/v1_201307051543/es/main.assets" "Apartado" => array:4 [ "identificador" => "14284" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Artículo especial" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/16954033/0000005400000003/v1_201307051543/S169540330177525X/v1_201307051543/es/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540330177525X?idApp=UINPBA00005H" ]
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| 2024 Marzo | 47 | 91 | 138 |
| 2024 Febrero | 34 | 90 | 124 |
| 2024 Enero | 28 | 75 | 103 |
| 2023 Diciembre | 38 | 63 | 101 |
| 2023 Noviembre | 53 | 41 | 94 |
| 2023 Octubre | 48 | 93 | 141 |
| 2023 Septiembre | 36 | 64 | 100 |
| 2023 Agosto | 27 | 40 | 67 |
| 2023 Julio | 29 | 83 | 112 |
| 2023 Junio | 33 | 46 | 79 |
| 2023 Mayo | 50 | 62 | 112 |
| 2023 Abril | 29 | 43 | 72 |
| 2023 Marzo | 32 | 84 | 116 |
| 2023 Febrero | 31 | 60 | 91 |
| 2023 Enero | 26 | 53 | 79 |
| 2022 Diciembre | 41 | 44 | 85 |
| 2022 Noviembre | 46 | 70 | 116 |
| 2022 Octubre | 32 | 60 | 92 |
| 2022 Septiembre | 37 | 82 | 119 |
| 2022 Agosto | 44 | 68 | 112 |
| 2022 Julio | 29 | 72 | 101 |
| 2022 Junio | 32 | 78 | 110 |
| 2022 Mayo | 40 | 79 | 119 |
| 2022 Abril | 32 | 97 | 129 |
| 2022 Marzo | 30 | 101 | 131 |
| 2022 Febrero | 29 | 58 | 87 |
| 2022 Enero | 42 | 86 | 128 |
| 2021 Diciembre | 34 | 78 | 112 |
| 2021 Noviembre | 28 | 85 | 113 |
| 2021 Octubre | 44 | 91 | 135 |
| 2021 Septiembre | 25 | 88 | 113 |
| 2021 Agosto | 18 | 54 | 72 |
| 2021 Julio | 46 | 81 | 127 |
| 2021 Junio | 49 | 77 | 126 |
| 2021 Mayo | 36 | 79 | 115 |
| 2021 Abril | 82 | 172 | 254 |
| 2021 Marzo | 89 | 71 | 160 |
| 2021 Febrero | 64 | 38 | 102 |
| 2021 Enero | 41 | 47 | 88 |
| 2020 Diciembre | 55 | 40 | 95 |
| 2020 Noviembre | 25 | 45 | 70 |
| 2020 Octubre | 31 | 14 | 45 |
| 2020 Septiembre | 21 | 17 | 38 |
| 2020 Agosto | 31 | 26 | 57 |
| 2020 Julio | 35 | 24 | 59 |
| 2020 Junio | 27 | 20 | 47 |
| 2020 Mayo | 52 | 19 | 71 |
| 2020 Abril | 39 | 17 | 56 |
| 2020 Marzo | 35 | 11 | 46 |
| 2020 Febrero | 28 | 23 | 51 |
| 2020 Enero | 53 | 16 | 69 |
| 2019 Diciembre | 46 | 36 | 82 |
| 2019 Noviembre | 29 | 9 | 38 |
| 2019 Octubre | 28 | 16 | 44 |
| 2019 Septiembre | 25 | 21 | 46 |
| 2019 Agosto | 28 | 16 | 44 |
| 2019 Julio | 30 | 37 | 67 |
| 2019 Junio | 47 | 45 | 92 |
| 2019 Mayo | 39 | 58 | 97 |
| 2019 Abril | 29 | 62 | 91 |
| 2019 Marzo | 29 | 16 | 45 |
| 2019 Febrero | 28 | 23 | 51 |
| 2019 Enero | 22 | 16 | 38 |
| 2018 Diciembre | 36 | 20 | 56 |
| 2018 Noviembre | 36 | 20 | 56 |
| 2018 Octubre | 42 | 10 | 52 |
| 2018 Septiembre | 21 | 11 | 32 |
| 2018 Agosto | 2 | 0 | 2 |
| 2018 Mayo | 4 | 0 | 4 |
| 2018 Abril | 15 | 0 | 15 |
| 2018 Marzo | 9 | 0 | 9 |
| 2018 Febrero | 12 | 1 | 13 |
| 2018 Enero | 13 | 0 | 13 |
| 2017 Diciembre | 11 | 0 | 11 |
| 2017 Noviembre | 7 | 0 | 7 |
| 2017 Octubre | 12 | 0 | 12 |
| 2017 Septiembre | 13 | 0 | 13 |
| 2017 Agosto | 7 | 1 | 8 |
| 2017 Julio | 10 | 7 | 17 |
| 2017 Junio | 18 | 137 | 155 |
| 2017 Mayo | 26 | 126 | 152 |
| 2017 Abril | 12 | 168 | 180 |
| 2017 Marzo | 18 | 169 | 187 |
| 2017 Febrero | 21 | 215 | 236 |
| 2017 Enero | 7 | 86 | 93 |
| 2016 Diciembre | 21 | 110 | 131 |
| 2016 Noviembre | 32 | 112 | 144 |
| 2016 Octubre | 20 | 154 | 174 |
| 2016 Septiembre | 55 | 188 | 243 |
| 2016 Agosto | 115 | 105 | 220 |
| 2016 Julio | 35 | 95 | 130 |
| 2016 Marzo | 5 | 0 | 5 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 1 | 108 | 109 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Julio | 11 | 54 | 65 |
| 2015 Junio | 11 | 0 | 11 |
| 2015 Mayo | 11 | 0 | 11 |
| 2015 Abril | 15 | 55 | 70 |
| 2015 Marzo | 11 | 0 | 11 |
| 2015 Febrero | 10 | 22 | 32 |
| 2015 Enero | 10 | 0 | 10 |
| 2014 Diciembre | 20 | 4 | 24 |
| 2014 Noviembre | 19 | 1 | 20 |
| 2014 Octubre | 31 | 1 | 32 |
| 2014 Septiembre | 25 | 2 | 27 |
| 2014 Agosto | 47 | 1 | 48 |
| 2014 Julio | 39 | 2 | 41 |
| 2014 Junio | 70 | 3 | 73 |
| 2014 Mayo | 84 | 2 | 86 |
| 2014 Abril | 72 | 5 | 77 |
| 2014 Marzo | 98 | 10 | 108 |
| 2014 Febrero | 56 | 7 | 63 |
| 2014 Enero | 95 | 9 | 104 |
| 2013 Diciembre | 89 | 15 | 104 |
| 2013 Noviembre | 127 | 11 | 138 |
| 2013 Octubre | 103 | 20 | 123 |
| 2013 Septiembre | 72 | 10 | 82 |
| 2013 Agosto | 65 | 13 | 78 |
| 2013 Julio | 75 | 4 | 79 |
| 2013 Junio | 2 | 0 | 2 |
| 2013 Mayo | 10 | 3 | 13 |
| 2013 Abril | 8 | 0 | 8 |
| 2013 Marzo | 16 | 2 | 18 |
| 2013 Febrero | 13 | 2 | 15 |
| 2013 Enero | 9 | 3 | 12 |
| 2012 Diciembre | 3 | 1 | 4 |
| 2012 Noviembre | 3 | 2 | 5 |
| 2012 Octubre | 3 | 2 | 5 |
| 2012 Septiembre | 7 | 0 | 7 |
| 2012 Agosto | 0 | 1 | 1 |
| 2001 Marzo | 4127 | 0 | 4127 |
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