Sexual Assault | Questions & Answers | 2010 Treatment Guidelines
Question 1: What is the best STD testing timeline for sexual assault survivors? Should there be a period of delay following a sexual assault (or other encounter) before STD screening?
Question 2: Is there any evidence that sexual assault victims might benefit from prophylaxis with an antiviral, such as acyclovir, to prevent herpes simplex virus (HSV) infection?
Question 3: What are the recommended diagnostic tests for sexually assaulted children and what is the appropriate timeline for examination of the child?
Question 4: We are using Suprax [cefixime] over Rocephin [ceftriaxone] for prophylactic treatment of gonorrhea in sexual assault victims. This is done to avoid the discomfort of an intramuscular injection. Would a preferred treatment be to give the patient Rocephin? We also treat assault victims with Zithromax [azithromycin].
Question 5: In cases of sexual assault, why are extragenital nucleic acid amplification tests (NAATs) recommended for adults, but not children?