Child sexual abuse examination: is there a need for routine screening for N. gonorrhoeae?
OBJECTIVE
To determine the yield of routine vaginal cultures for Neisseria gonorrhoeae from asymptomatic girls following sexual abuse.


METHODS
Cultures were obtained from 865 prepubertal girls seen within 72 hours following an assault. Adult females (2743), age 18 or older, who were treated according to the same protocol constitute the control group. Data were analyzed using chi square analysis and comparison of proportions.


RESULTS
It was found that 165 (4.6%) cultures were positive for N. gonorrhoeae. Of the 2743 adults, 153 were positive (5.6%) compared with 12 of the 865 prepubertal girls (1.4%). The differences are statistically significant. All 12 prepubertal children who had positive vaginal cultures for N. gonorrhoeae revealed that they had signs of acute vulvovaginitis.


CONCLUSIONS
Routine vaginal cultures in asymptomatic prepubertal girls may not be indicated as part of the initial evaluation.
Muram
D
D
Department of Obstetrics and Gynecology, University of Tennessee, Memphis 38103, USA.
Speck
P M
PM
Dockter
M
M
D002648:Child; D002650:Child Abuse, Sexual; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D014621:Vagina / Q000382:microbiology*; D014626:Vaginal Smears