A. Report Suspected Abuse. All 50 states have laws that require heath care providers to report suspected child abuse including suspected sexual abuse (see also Chapter 14, Child Abuse: Physical, p. 73). State laws vary as to when reports need to be made to child protective service (CPS) agency or police, or both.
B. Manage Acute Injuries. Most sexually abused children will have no injuries or minor injuries not requiring surgical repairs. Treatment includes maintaining good perineal hygiene, sitz baths, and topical lubricant ointments or topical antibiotics.
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