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It is almost certain that pediatricians will encounter child sexual abuse over the course of their careers. Sexual abuse is prevalent. Sexually abused children present for medical care in a variety of clinical contexts. The evaluation and treatment of child sexual abuse involves multidisciplinary collaboration. The health professional's role includes addressing the physical and mental health consequences of abuse. Physicians are mandated to report suspected abuse to authorities.
In this article, history taking, physical examination, forensic evidence collection, laboratory testing, sexually transmitted infections (STIs), interpretation of clinical findings, psychosocial outcomes, legal considerations, and treatment will be discussed. Pediatricians might choose to consult with a health professional specializing in the management of child sexual abuse, depending on the clinical context, the physician's level of ease with components of the evaluation, and local resources.
Child sexual abuse occurs when a child is engaged...
