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Implications of Commonly Encountered STDs for the Diagnosis and Reporting of Sexual Abuse of Infants and Prepubertal Children
↵* If not perinatally acquired and rare nonsexual vertical transmission is excluded.
↵† Although the culture technique is the “gold standard,” current studies are investigating the use of nucleic acid–amplification tests as an alternative diagnostic method in children.
↵‡ To the agency mandated in the community to receive reports of suspected sexual abuse.
↵§ If not acquired perinatally or by transfusion.
↵‖ Unless there is a clear history of autoinoculation.
Guidelines for Making the Decision to Report Sexual Abuse of Children
↵* If nonsexual transmission is unlikely or excluded.
↵† Confirmed with various examination techniques and/or peer review with expert consultant.
↵‡ If behaviors are rare/unusual in normal children.
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