The Centers for Disease Control are currently formulating recommendations for treatment of children suspected of being sexually abused. Until this process is completed, we suggest that recommendations for adults be followed for sexually abused children.
Gonorrhea prophylaxis should be given only if the abuser is known to have a gonococcal infection. Follow-up care and counseling are essential for a sexually abused child, and the examining physician should treat the patient at follow-up if Gram’s stain or culture
results indicate infection. Finally, most sexual assaults of children do not involve intercourse. Thus, the need for pregnancy prophylaxis should be evaluated on an individual basis, considering the age of the child and the nature of the assault.
Jason J, Kramer D
Am. J. Dis. Child. 1982 Dec;136(12):1097-8 (Letter to the Editors)