Sexual abuse of children. Detection and management.

Detection of sexual abuse in children involves careful history-taking, complete physical examination, and most importantly, a high index of suspicion. Primary care physicians play an important role, since they are likely to be the first persons consulted. Complete management includes immediate attention to physical care, prophylactic measures, psychological evaluation and treatment, and collection of medicolegal evidence. For the protection of the child, one person must assume responsibility to coordination of treatment and adequate follow-up.