In the American Academy of Pediatrics clinical report “Care of the Adolescent After an Acute Sexual Assault,” (Pediatrics 2017;139(3):e20164243), it states that there are no current recommendations from the Centers for Disease Control and Prevention (CDC) regarding immunization against human papillomavirus (HPV) in the context of sexual assault. However, the 2014 HPV vaccination recommendations from the Advisory Committee on Immunization Practices (ACIP; https://www.cdc.gov/mmwr/pdf/rr/rr6305.pdf) recommend HPV vaccination beginning at age 9 years for children and youth with any history of sexual abuse or assault who have not initiated or completed the series. Females and males who are victims of sexual abuse or assault should receive HPV vaccine through the recommended ages if they have not been vaccinated. Although HPV vaccine will not protect against progression of infection already acquired or promote clearance of the infection, the vaccine protects against vaccine types not yet acquired The vaccine should be administered to sexual assault survivors in a 2- or 3-dose schedule, based on the age at initiation of the HPV vaccination series, per ACIP/CDC/AAP recommendations (https://www.cdc.gov/mmwr/volumes/65/wr/mm6549a5.htm and https://www.cdc.gov/std/tg2015/sexual-assault.htm).
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