@article{ref1,
title="Epidemiology of adult sexually transmitted disease agents in children being evaluated for sexual abuse",
journal="Pediatric infectious disease journal",
year="1992",
author="Ingram, D. L. and Everett, V. D. and Lyna, P. R. and White, S. T. and Rockwell, L. A.",
volume="11",
number="11",
pages="945-950",
abstract="This prospective study describes the epidemiology of adult sexually transmitted disease agents in 1538 children ages 1 to 12 years being evaluated for possible sexual abuse. Infections with these agents were related to the presence or absence of a history of sexual contact. Neisseria gonorrhoeae (GC) was found in 2.8% (41 of 1469); human papillomavirus presenting as condyloma acuminata, 1.8%; Chlamydia trachomatis, 1.2% (17 of 1473); Treponema pallidum (syphilis), 0.1% (1 of 1263); and herpes simplex virus, 0.1%. Overall a history of sexual contact was present in 83% of children with N. gonorrhoeae; condyloma acuminata, 43%; Chlamydia trachomatis, 94%; syphilis, 0%; and herpes simplex virus, 50%. Selected vaginal discharges were examined for Trichomonas vaginalis and bacterial vaginosis. In children comprehending questions regarding sexual contact (i.e. were &quot;verbal&quot;), 89% with N. gonorrhoeae, 100% with Chlamydia trachomatis and 63% with condyloma acuminata had a history of sexual contact, indicating that in &quot;verbal&quot; children any infection with N. gonorrhoeae or C. trachomatis was highly associated with sexual contact.<p /> <p>Language: en</p>",
language="en",
issn="0891-3668",
doi="",
url="http://dx.doi.org/"
}