Most of the literature demonstrates poor compliance of sexual assault patients with follow-up.7,1 l8 Therefore, prophylaxis for sexually transmitted diseases (STDs) should be given to all sexual assault victims. At a minimum, treatment for gonorrhea and chlamydia should be offered. The current guidelines from the Centers for
Disease Control and Prevention (CDC) also recommend prophylaxis against Trichomonas and bacterial vaginosis.19 T.a.ble...2.9..0.-.1.. presents the current CDC guidelines for antibiotic choices. A negative pregnancy test should be documented on the chart prior to administering antibiotics; a positive pregnancy test will alter the choice of antibiotics. See Chapte.L1.37 for further information on treatment of STDs. Hepatitis B prophylaxis should be considered if the assailant is felt to belong to high-risk group for the disease. The CDC recommends postexposure vaccination with the first dose administered at the time of the initial exam.19 Administration of hepatitis B immune globin (HBIG) may also be considered. For those who have been vaccinated, a booster and HBIG should be given only if antibody titers are inadequate.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.