Assuntos
Maus-Tratos Infantis/prevenção & controle , Maus-Tratos Infantis/estatística & dados numéricos , Vigilância da População , Prevenção Primária/métodos , Saúde Pública/métodos , Adolescente , Criança , Pré-Escolar , Métodos Epidemiológicos , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pesquisa , Fatores de Risco , Estados Unidos/epidemiologiaRESUMO
Children suspected of having been physically abused had significantly higher venous blood lead levels than a comparison group (p < 0.0001). Abused children were 27-fold more likely to have lead levels > 0.965 mumol/L (20 micrograms/dl) (odds ratio = 26.7). We recommend that abused children be monitored for lead intoxication more frequently than other children.
Assuntos
Maus-Tratos Infantis/sangue , Chumbo/sangue , Estudos de Casos e Controles , Criança , Maus-Tratos Infantis/diagnóstico , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Lactente , Intoxicação por Chumbo/sangue , Intoxicação por Chumbo/diagnóstico , MasculinoAssuntos
Vulvovaginite , Adolescente , Algoritmos , Antibacterianos/uso terapêutico , Criança , Feminino , Humanos , Exame Físico , Prognóstico , Puberdade , Esfregaço Vaginal , Vulvovaginite/diagnóstico , Vulvovaginite/tratamento farmacológico , Vulvovaginite/epidemiologia , Vulvovaginite/microbiologiaRESUMO
Clinicians are seeing greater numbers of children and adolescents suspected of being sexually abused. In the past, the interpretation of the medical findings was hampered by a lack of knowledge of normal anatomy and genital flora in the nonabused prepubertal child. The quality of more recent studies has been improved by the use of more appropriate controls and by the thorough evaluation of reportedly normal girls to ensure that they are truly nonabused. Such studies have provided the clinician with more accurate medical data with which to support the diagnosis of child sexual abuse.
