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  • 标题:Anogenital warts in children: sexual abuse or unintentional contamination?
  • 本地全文:下载
  • 作者:Jesus, Lisieux Eyer de ; Cirne Neto, Oscar Luís Lima e ; Nascimento, Leila Maria Monteiro do
  • 期刊名称:Cadernos de Saúde Pública
  • 印刷版ISSN:0102-311X
  • 电子版ISSN:1678-4464
  • 出版年度:2001
  • 卷号:17
  • 期号:6
  • 页码:1383-1391
  • DOI:10.1590/S0102-311X2001000600022
  • 语种:English
  • 出版社:Escola Nacional de Saúde Pública,Fundação Oswaldo Cruz
  • 摘要:

    Anogenital warts (AGW) were recently recognized in children, and their significance as an index of childhood sexual abuse is controversial. We report our transdisciplinary approach (including a pediatric surgeon, psychologist, social worker, ethics expert, and occasionally law enforcement agents) and its results in a group of 17 children with AGW treated at the public pediatric referral hospital in Rio de Janeiro, Brazil, during a 3-year period (1996-1999). All children were treated by electrocauterization of the warts, tested for other STDs, and submitted to perineal examination under anesthesia. Families received psycho-social counseling as necessary and cases were referred to child protection and law enforcement agents when indicated according to Brazilian legislation. We identified a high incidence of sexual abuse (8 children, 5/7 > 5 years old), with 3 patients inconclusive as to sexual abuse and 7 cases of perinatal transmission (5/8 < 4 years old). We conclude that AGW are indeed a strong sign of suspicion for sexual abuse in children, especially but not exclusively > 5 years of age. However, strong support and a transdisciplinary approach to the children and their families is necessary to identify it.

  • 关键词:Maus-Tratos Sexuais Infantis;Condiloma Acuminado;Papilomavírus Humano;Doenças Sexualmente Transmissíveis
  • 其他关键词:Child Abuse, Sexual;Condylomata Acuminata;Human Papillomavirus;Sexually Transmitted Diseases
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