Discussion on Sexual Assault from one student from the cohort and need a substantial responses.
Discussion on Sexual Assault from one student from the cohort and need a substantial responses. Word Count: Minimum of 150 words per post, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years
Pappas(2022) asserted that sexual assault can be a life-rupturing event, shattering feelings of trust for survivors and triggering relationship struggles. Because sexual assault remains stigmatized, those who have experienced it may not feel able to reach out for social support like survivors of other types of traumas.
According to CDC Sexually Transmitted Infections Treatment Guidelines (2021), examinations of survivors of sexual assault should be conducted by an experienced clinician to minimize further trauma to the person. The decision to obtain genital or other specimens for STI diagnosis should be made individually. Care systems for survivors should be designed to ensure continuity, including timely review of test results, support adherence, and monitoring for adverse reactions to any prescribed therapeutic or prophylactic regimens.
Trichomoniasis, BV, gonorrhea, and chlamydia are the most frequently diagnosed infections among women who have been sexually assaulted. Such conditions are prevalent among the population, and detecting these infections after an assault does not necessarily imply acquisition during the assault. However, a post-assault examination presents an important opportunity for identifying or preventing an STI.
Compliance with follow-up visits is poor among survivors of sexual assault. Consequently, the following routine presumptive treatments after a sexual assault are recommended:
An empiric antimicrobial regimen for chlamydia, gonorrhea, and trichomonas for women and chlamydia and gonorrhea for men.
Emergency contraception should be considered when the assault could result in pregnancy (see Emergency Contraception).
Postexposure hepatitis B vaccination (without HBIG) if the hepatitis status of the assailant is unknown and the survivor has not been previously vaccinated. If the assailant is known to be HBsAg positive, unvaccinated survivors should receive both hepatitis B vaccine and HBIG. 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 Virus Infection).
HPV vaccination for female and male survivors aged 9–26 years who have not been vaccinated or are incompletely vaccinated (11) (http://track.smtpsendemail.com/9064971/c?p=2iJ2Y2-QjsriFAhd0copXDYrK2InEVBis22C4VehHknqxlUnkcFD4VeTVpMaFqg7p_ED6r0GaOT5Yfyv5Qbvkep5gq8NZTV6T8sZvvv_nQEpmoEXCzoUGBMBLkh4rQT_uF1eSRzQ3QxAKTMxhtajsAOHuisz8-jMJgqZs0n3j-Q9OfhRfK0IWu_11WAw9A3A–fHVE6QRlGSTveqiwz1UO68Ky-7bAo2UwvRzM5-dX0= The vaccine should be administered to sexual assault survivors at the time of the initial examination, and follow-up doses should be administered at 1–2 months and 6 months after the first dose. A 2-dose schedule (0 and 6–12 months) is recommended for persons initiating vaccination before age 15 years.
Recommendations for HIV PEP are made on a case-by-case basis according to risk (see Risk for Acquiring HIV Infection; Recommendations for Postexposure HIV Risk Assessment of Adolescents and Adults <72 Hours After Sexual Assault).
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