Sexual offense testing
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Sexual Assault and Abuse and STDs
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If you are pregnant as a result of a rape, please see your doctor to discuss the options you have in relation to the pregnancy. In South Australia getting an infection after a sexual assault is uncommon, however it is still important to check.
Testing for sexually transmitted infections can be done in the first few days after an assault called baseline testing. Testing tedting this time only shows whether or not you had an infection before the sexual assault. It is not necessary to have testing at this time but some people want baseline tests taken. For more information about the above STIs please visit the Clinic web page. The best time to test for infections after the assault are: The doctor will talk with you about the risks of infection and the type of medication that you can take to help reduce the risk.
Psychological Impacts The psychological impacts of rape and sexual assault are often very significant. A lffense kit is considered backlogged when it is not offenee for analysis within 10 days of the evidence being submitted. A second cause of the backlog is crime laboratory facilities receiving the rape kits and not testing them in a timely manner. The Joyful Heart Foundation, an anti-sexual violence charity founded by actress and activist Mariska Hargitayconsiders these kits backlogged when the kit is not analyzed within 30 days of it being sent to the lab. For victims of sexual assault in the United States, for example, the length of time for which a kit can go untested may be shorter than the statute of limitations.
Policies in some jurisdictions instruct that rape kits be destroyed as early as six months after they are initially stored. In many locations, the non-availability of rape kits prevents victims from obtaining medico-legal evidence that would otherwise aid in the criminal investigation and prosecution of their assailant.
These results quarterly may be made receptive for use in paragraph. Israeli Impacts The docile impacts of being and fuzzy assault are often very beautiful.
In Nigeriafor example, a study analyzing sexual assault in Ile-Ife found that the majority of victims went to the hospital within 24 hours of a sexual assault, but did not receive a forensic medical examination because rape kits have yet to be introduced in the country. Ofefnse study of rape kit collection in South Africa found that rape kits were sometimes inappropriately used, missing proper specimens, or missing necessary forms. In Japanfor example, a sexual assault victim must pay testlng the rape kit upfront, but police will reimburse medical fees if offwnse victim reports the assault.
States may still require victims to submit claims for the rape kit exams to their personal insurance providers, offese long as they are not billed for a deductible or a copay. These tests allow victims too traumatized to go to the police to undergo the procedure at hospitals. The hospitals maintain the collected evidence in a sealed envelope identified only by a number, unless police access its contents upon the victim's decision to press charges. A serum sample for evaluation of HIV, hepatitis B, and syphilis infections. Treatment Compliance with follow-up visits is poor among survivors of sexual assaultAs a result, the following routine presumptive treatment after a sexual assault is recommended: An empiric antimicrobial regimen for chlamydia, gonorrhea, and trichomonas.
This measure should be considered when the assault could result in pregnancy in the survivor. Postexposure hepatitis B vaccination without HBIG if the hepatitis status of the assailant is unknown and the survivor has not been previously vaccinated. The vaccine and HBIG, if indicated, should be administered to sexual assault survivors at the time of the initial examination, and follow-up doses of vaccine should be administered 1—2 and 4—6 months after the first dose. Survivors who were previously vaccinated but did not receive postvaccination testing should receive a single vaccine booster dose see hepatitis B.
HPV vaccination is recommended for female survivors aged 9—26 years and male survivors aged 9—21 years. For MSM with who have not received HPV vaccine or who have been incompletely vaccinated, vaccine can be administered through age 26 years.
Offense testing Sexual
The vaccine should be administered to sexual assault survivors at the time of the initial examination, and follow-up dose administered at 1—2 months and 6 months after the first dose. Recommended Regimens Ceftriaxone mg IM in a single dose PLUS Azithromycin 1 g orally in a single dose PLUS Metronidazole 2 g orally in a single dose OR Tinidazole 2 g orally in a single dose If alcohol has been recently ingested or emergency contraception is provided, metronidazole or tinidazole can be taken by the sexual assault survivor at home rather than as directly observed therapy to minimize potential side effects and drug interactions.
Clinicians should counsel persons regarding the possible benefits and toxicities associated with these treatment regimens; gastrointestinal side effects can occur with this combination. The efficacy of these regimens in preventing infections after sexual assault has not been evaluated. For those requiring alternative treatments, refer to the specific sections in this report relevant to the specific organism. Other Management Considerations At the initial examination and, if indicated, at follow-up examinations, patients should be counseled regarding symptoms of STDs and the need for immediate examination if symptoms occur.
Further, they should be instructed to abstain from sexual intercourse until STD prophylactic treatment is completed. Follow-up After the initial post-assault examination, follow-up examinations provide an opportunity to 1 detect new infections acquired during or after the assault; 2 complete hepatitis B and HPV vaccinations, if indicated; 3 complete counseling and treatment for other STDs; and 4 monitor side effects and adherence to postexposure prophylactic medication, if prescribed. If initial testing was done, follow-up evaluation should be conducted within 1 week to ensure that results of positive tests can be discussed promptly with the survivor, treatment is provided if not given at the initial visit, and any follow-up for the infection s can be arranged.
You will also be asked about the details of what has happened to you to help identify all potential areas of injury as well as places on your body or clothes where evidence may be located. This part of the exam may be based on your specific experience, which is why it is important to give an accurate history. It may also include taking samples of blood, urine, swabs of body surface areas, and sometimes hair samples. The trained professional performing the exam may take pictures of your body to document injuries and the examination. With your permission, they may also collect items of clothing, including undergarments.
If you are a minor, the person performing the exam may be obligated to report it to law enforcement. You may be offered prevention treatment for STIs and other forms of medical care that require a follow up appointment with a medical professional. Depending on the circumstances and where you live, the exam site may schedule a follow up appointment, or you can ask about resources in your community that offer follow up care for survivors of sexual assault. Someone from the exam site may also be able to provide information or resources about reporting options.
Who can perform the exam? Not every hospital or health facility has someone on staff that is specially trained to perform a sexual assault forensic exam and interact with recent survivors of sexual assault. When you call the National Sexual Assault Hotline at