2014, Number 4
Prophylaxis for HIV, STIs and pregnancy in women victims of sexual violence
Full text
Language: Spanish
References: 13
Page: 157-161
PDF size: 285.52 Kb.
ABSTRACT
Introduction: The United Nations (UN) defines sexual violence as: «Any act or attempt to obtain a sexual act, comments, sexual advances, acts to traffic, or otherwise trade a person’s sexuality using coercion, by any person, regardless of its relationship with the victim, in any setting, including home and work». The worldwide prevalence indicates that 35% of women have experienced mate violence or sexual violence at some point in life and as a consequence getting risk for sexually transmitted infection (STI) including HIV in early pregnancy. Objective: Describe the result of screening for STIs/HIV since the moment when sexual violence happened throughout one year after. In addition, the time of initiation of prophylaxis with antiretroviral and antibiotics within 72 hours and the practice for emergency contraception were analyzed. Results: A sample of 1,077 women, victims of sexual violence, who attended the Specialized Condesa Clinic during the period from January 2nd to December 31st 2013 were analyzed. An average age of 22.2 ± 8.0 years old were observed. They presented vaginal penetration 94.7%; rectal and vaginal penetration 4.36% and oral penetration 0.27%. 49.76% of the patients were given emergency contraception, 37.23% received prophylaxis for HIV with reverse transcriptase inhibitors plus STI prophylaxis in the first 72 hours of the exposure; 0.18% were positive in the rapid test for HIV. The 0.18% (n = 2) reported positive test for hepatitis C; 0.83% had a pregnancy due to the sexual violence event. Pregnancy rate was 0.3% in patients who received emergency contraception. Conclusion: In patients who report sexual violence is a priority to provide HIV counseling and STI counseling. After this, laboratory tests to determine HIV and STIs must be done, in addition to provide pharmacological prophylaxis for these and emergency contraception.REFERENCES
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