Admisión hospitalaria por abuso sexual infantil. Centro Hospitalario Pereira Rossell 2010-2014 / Hospital admission due to child sexual abuse. Pereira Rossell Hospital Center 2010 - 2014
Arch. pediatr. Urug
; 88(5): 246-253, oct. 2017. tab
Article
in Es
| LILACS
| ID: biblio-887789
Responsible library:
UY1.1
RESUMEN
Introducción:
el abuso sexual (AS) de niñas, niños y adolescentes (NNA) constituye un problema relevante, cuya detección ha aumentado en los últimos años.Objetivos:
describir las características epidemiológicas del AS en NNA que egresaron del Hospital Pediátrico del Centro Hospitalario Pereira Rossell (HP-CHPR) y conocer la conducta adoptada en relación a la norma impulsada por el Ministerio de Salud en casos de AS agudo.Metodología:
estudio descriptivo, retrospectivo que incluyó a los menores de 15 años con diagnóstico de AS al egreso de cuidados moderados del HP-CHPR desde junio de 2010 a junio de 2014.Resultados:
se incluyeron 156 pacientes, media de edad 8,1 años, 78% sexo femenino. La media de estadía hospitalaria fue de 8,3 días. El AS fue intrafamiliar en 54%, siendo el responsable más frecuente la pareja de la madre. El 48% fueron episodios reiterados. El 25% fueron AS agudos. El 71% presentaba uno o más factores de riesgo. Se constataron signos específicos de AS en el 20% de los casos e inespecíficos en el 38%. El 45% de las historias incluía el registro de denuncia judicial. En los casos de AS agudo se evaluó el cumplimiento del tratamiento antirretroviral profiláctico, de la toma de muestras exudado vaginal, rectal u oral, la cobertura para ITS y la prevención del embarazo, que se cumplió irregularmente.Conclusiones:
el tipo de abuso más frecuente fue intrafamiliar, reiterado y dirigido a niñas y adolescentes de sexo femenino y no presentaban elementos específicos de abuso. La norma recomendada para AS agudo por el Ministerio de Salud se cumplió irregularmente.ABSTRACT
Introduction:
childhood and adolescent sexual abuse (CSA) is a relevant problem that has increased in recent years.Objectives:
to describe the epidemiological characteristics of childhood and adolescent sexual abuse (CSA) of patients who were discharged from the Pereira Rossell Hospital Center (CH-PRHC) and to learn about the behavior adopted in connection with the recommendations by the Ministry of Health in cases of severe SA.Method:
descriptive, retrospective study including children and adolescents younger than 15 years old diagnosed with SA who were released from intermediate care at the CH - HPRC between June 1, 2010 and May 30, 2014.Results:
n = 156, mean age 8.1 years old, 78% female. Average hospital stay was 8.3 days. In 54% of cases somebody within the family was responsible for the SA, the mother's partner being the most frequent one; repeated episodes 48%; oral, vaginal and/or anal penetration 6%; 25% of cases were severe; 71% of cases evidenced one or more risk factors; specific signs of SA were found in 20% of cases, being these non-specific in 38% of them. 45% of medical records proved there had been a police report. In the cases of severe SA, fulfilment of prophylactic antiretroviral treatment, taking of vaginal, rectal or oral samples, STD coverage and prevention of pregnancy was assessed.Conclusions:
the most frequent kind of sexual abuse was intrafamily child sexual abuse (CSA), which occurred more than once and happened to girls and female adolescents, who did not present abuse-specific elements. There was uneven observation of the recommendations by the Ministry of Health.Key words
Full text:
1
Index:
LILACS
Main subject:
Child Abuse, Sexual
/
Sexually Transmitted Diseases
/
Risk Factors
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Observational_studies
/
Risk_factors_studies
Limits:
Humans
/
Male
Language:
Es
Journal:
Arch. pediatr. Urug
Journal subject:
PEDIATRIA
Year:
2017
Type:
Article