Postexposure prophylaxis for victims of sexual assault: treatments and attitudes of emergency department physicians
Postexposure prophylaxis for victims of sexual assault: treatments and attitudes of emergency department physicians
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DOI：
10.1016/j.contraception.2010.01.005
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发表时间：
2010-08-01
期刊：
影响因子：
2.9
通讯作者：
Fox, Michelle C.
中科院分区：
文献类型：
--
作者：
Bakhru, Arvind;Mallinger, Julie B.;Fox, Michelle C.
背景：急诊科（ED）是性侵犯（SA）受害者的主要护理来源。以前曾注意到向这些妇女提供紧急避孕药具是零星的。SA的受害者和完整的护理障碍的完整性进一步调查，在本study.Study设计：所有艾德主治医师在马里兰州，弗吉尼亚州和哥伦比亚哥伦比亚特区被确定和接触的参与，35%完成了调查。实践模式进行了分析，为67%的医生谁不指SA受害者到其他hospital.Results：我们发现，83%的医生“总是”或“通常”提供EC，但只有一半处方EC超过48小时postassault。虽然大多数（89%）通常提供艾滋病毒以外的性病预防，但只有45%提供艾滋病毒预防或咨询。医生的态度和医院的协议显着modifiers.Conclusion：性侵犯受害者往往不提供全面的护理，包括预防怀孕和所有性病，包括艾滋病毒。进一步的研究是必要的，以确定为什么医生不定期提供艾滋病毒预防后SA。(C)2010年爱思唯尔公司All rights reserved.
Background: Emergency departments (EDs) are the primary source of care for victims of sexual assault (SA). Provision of emergency contraception (EC) to these women has previously been noted to be sporadic. Completeness of care for victims of SA and the barriers to complete care are further investigated in this study.Study Design: All ED attending physicians in Maryland, Virginia and the District of Columbia were identified and contacted for participation; 35% completed the survey. Practice patterns were analyzed for the 67% of physicians who do not refer SA victims to other hospitals.Results: We found that 83% of physicians "always" or "usually" offer EC, but only half prescribe EC more than 48 h postassault. While most (89%) typically offer prophylaxis for STDs other than HIV, only 45% offer or counsel on HIV prophylaxis. Physician attitudes and hospital protocols were significant modifiers.Conclusion: Sexual assault victims are often not offered comprehensive care including prophylaxis against pregnancy and all STDs including HIV. Additional research is warranted to determine why physicians do not routinely offer HIV prophylaxis after SA. (C) 2010 Elsevier Inc. All rights reserved.