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.

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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:

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

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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. 

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