Introduction of HIV post-exposure prophylaxis for sexually abused children in Malawi

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Introduction of HIV post-exposure prophylaxis for sexually abused children in Malawi.

AIMS To improve the care of children who are victims of child sexual abuse (CSA) by routinely assessing eligibility for HIV post-exposure prophylaxis (PEP) and to investigate the feasibility, safety, and efficacy of such treatment started in a paediatric emergency department in Malawi. METHODS Children presenting to the Queen Elizabeth Central Hospital, Blantyre between 1 January 2004 and 31 ...

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Sexually transmitted organisms in sexually abused children.

OBJECTIVE To establish the prevalence of sexually transmitted organisms and other genital organisms in potentially sexually abused children. DESIGN Prospective study of children attending an inner London department of community paediatrics for evaluation of possible sexual abuse. SUBJECTS Children under 16 referred for evaluation of possible sexual abuse. OUTCOME MEASURES Prevalence of se...

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Sexually transmitted diseases in sexually abused children.

To determine the prevalence and pattern of sexually transmitted diseases among sexually abused children, we evaluated 532 victims under 14 years of age for the presence of Neisseria gonorrhoeae and Treponema pallidum. Twenty-five girls with vaginal discharge and six children with perineal skin lesions underwent more detailed microbiologic examination. Thirty-four infections were identified in 3...

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Post-exposure prophylaxis for HIV infection.

Post-exposure prophylaxis (PEP) with antiretrovirals is now widely used worldwide after either occupational contact (with blood or another blood-containing fluid), or nonoccupational contact (mainly sexual or injection-drug use). It is assumed to reduce the risk of HIV transmission by at least 80%, although its efficacy has not been completely proven. Several countries have issued guidelines to...

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Current perspectives in HIV post-exposure prophylaxis

The incidence of human immunodeficiency virus (HIV) infection continues to rise among core groups and efforts to reduce the numbers of new infections are being redoubled. Post-exposure prophylaxis (PEP) is the use of short-term antiretroviral therapy (ART) to reduce the risk of acquisition of HIV infection following exposure. Current guidelines recommend a 28-day course of ART within 36-72 hour...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 2005

ISSN: 0003-9888,1468-2044

DOI: 10.1136/adc.2005.080432