title: [Clinical and medico - legal aspects of sexual aggressions at Gabriel Toure teaching hospital].
abstract: OBJECTIVE
  The sexual aggressions pose an important medico - legal problem. The implication of several services is often indispensable to determine the future of this aggression. Our survey objectives were to determine epidemiological and clinical characteristics of sexual aggressions and to specify the judicial continuations.
  
  
  METHODS
  We did historical cohort survey while recruiting all cases of consultation in the service for sexual aggressions. This survey spreads on a period of 60 months going from January 2004 to December 2008. A systematic health evaluation (HIV test, vaginal screeming, lever inflammatory deseases) is asked to every sexual abuse patients.Data have been recorded from patients' clinical files, cards of requisition and accounts returned of verbal suit of auditions and police custodies. khi 2 test has been used to appreciate relationship between variables, significativity doorstep P value < 5%.
  
  
  RESULTS
  The sexual aggression frequency in relation to admissions to emergencies is 3.12%. The age group <15 years were the more represented with 59.18%. The police authority referred the patients with a requisition in 65.17% of cases (p<0,005). Presumed aggressor was known by the patient in 63.67% of cases (p<5%) and in 72.28% of cases the aggression has been made by night (p=0,001) It was about one aggressor in 65.54% of cases; they were 2 and 3 numbers in 17.23%. (p=0,002). We noted a sexual penetration notion in 80.52% of cases against 19.48% of sexual attouchements. The threat has been noted in any case: 40.82% by weapon and 30.71% by stroke of point. More of the half of the patients (60.30%) had had sexual intercourse before the aggression. The clinic exam was normal in 76.40% of cases (P<5%). The main types of lesions were: hymeneal injuries (13.48%), vulva injuries (7.87%). The judicial continuations have been marked by 10.48% of condemnations, 46.06% of acquittal and 40.06% of friendly regulation (P<5%).
  
  
  CONCLUSIONS
  The number of sexual aggressions, although under valued, is raised in our country. The collaboration between the judicial, police and medical services should permit to reduce the frequency of these aggressions.
authors: Service de Gynecologie obstetrique du CHU Gabriel Toure, Bamako, Mali. drtraorey@yahoo.fr
authors: Y
authors: Y
authors: Traore
authors: N
authors: N
authors: Mounkoro
authors: I
authors: I
authors: Teguete
authors: M Y
authors: MY
authors: Djire
authors: A
authors: A
authors: Diallo
authors: M
authors: M
authors: Bagayogo
authors: A
authors: A
authors: Sissoko
authors: T
authors: T
authors: Dolo
authors: A
authors: A
authors: Dolo
mesh_terms: D000293:Adolescent; D000328:Adult; D000402:Airway Obstruction / Q000453:epidemiology; D002648:Child; D002650:Child Abuse, Sexual / Q000706:statistics & numerical data; D002675:Child, Preschool; D015331:Cohort Studies; D003416:Criminal Law; D004630:Emergencies; D005260:Female; D005836:Genitalia, Female / Q000293:injuries; D015658:HIV Infections / Q000175:diagnosis / Q000635:transmission; D006525:Hepatitis, Viral, Human / Q000175:diagnosis / Q000635:transmission; D006785:Hospitals, University / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D006801:Humans; D008302:Mali / Q000453:epidemiology; D008875:Middle Aged; D016495:Police / Q000706:statistics & numerical data; D011902:Rape / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D014754:Violence / Q000706:statistics & numerical data; D054041:Weapons / Q000706:statistics & numerical data; D055815:Young Adult