SEXUAL ASSAULT

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SEXUAL ASSAULT

A statutory offense that provides that it is a crime to knowingly cause another person to engage in an unwanted sexual act by force or threat

INVESTIGATIONS

Urine pregnancy test Blood for:

»     RPR,

»    HIV, and 

» Hepatitis B if no history of previous Hep B immunization.

READ ALSO  DIVERTICULITIS

 

GENERAL MEASURES

Trauma counselling and completion of J88 forms

Examination under anesthesia may be required for adequate forensic sample collection, or repair of genital tract trauma.

 

MEDICINE TREATMENT

 

Emergency contraception:

  1. Levonorgestrel 1.5 mg, oral, preferably within 24 hours of event.

OR

  1. Ethinyl estradiol 100 mcg plus norgestrel 1 mg, oral, 12 hourly for 2 doses Note:
READ ALSO  AMENORRHOEA

Emergency contraception can be given up to 5 days following an episode of unprotected intercourse.

 

Sexually Transmitted Infection (STI) prophylaxis

  1. Cefixime, oral, 400 mg immediately as a single dose. PLUS
  2. Metronidazole, oral, 2 g, immediately as a single dose. PLUS
  3. Doxycycline 100 mg 12 hourly for 7 days.

In pregnancy, use: Amoxicillin, oral, 500 mg 8 hourly for 7 days. 

READ ALSO  GENITAL PROLAPSE AND URINARY INCONTINENCE

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