Published in: Today Digital
Author: Dr. Rita Alexandra Rojas, Internist, Infectologist, Coordinator of Infectious Diseases of the General Hospital of the Plaza de la Salud.
Before a non-consensual sexual relationship we always focus on the emotional part of the person and we forget how important is the affective part or the psychological part, which is the support, from the medical point of view.
In case of violation there is a medical management protocol that must be started within the first hours of the event. This protocol is aimed at covering sexually transmitted infections, such as HIV (human immunodeficiency virus), hepatitis, chlamydia, gonorrhea and syphilis, among other diseases.
After collecting the medical history that includes the type of exposure and time, it is indicated to perform serological tests to the victim, which include HIV tests, hepatitis B (quantitative anti-HBs and HBsAg), hepatitis C and pregnancy test , among other.
The HIV test is performed in order to rule out the possibility that the patient has a previous infection. A patient with negative test ideally should receive treatment in the first 7 hours or at least before 72 hours of having been exposed.
The treatment consists of a combination of antiretroviral drugs for 30 days in order to prevent infection. For these purposes, the Government offers medicines free of charge. The risk of contagion is low if the victim receives the treatment in the stipulated time. The start of prophylaxis is not indicated after 72 hours of the incident.
It is important to know if the affected person has received vaccines for hepatitis B or has suffered from it. For this, tests are carried out that determine if the patient requires active and passive protection. Active protection is carried out with immunoglobulins and passive protection with vaccines.
Not all people who have received hepatitis B vaccines have reached adequate levels of protection; hence the importance of measuring antibody levels after vaccination is performed. The administration of immunoglobulins is indicated in the first 24 hours for those people who do not know if they have protection for hepatitis B or do not have adequate levels of protection and will continue with the application of the vaccine consisting of three doses administered in a period of six months. months
The hepatitis C test is done for recognition purposes. There is no postexposure prophylaxis for this condition, but you should know that there is already a cure.
If it is confirmed that the rape victim is not pregnant, it is indicated to administer a pill the day after as a method of preventing an unwanted pregnancy.
Other sexually transmitted diseases that should be considered include: Chlamydia infection, syphilis, trichomonas, gonorrhea and others. To prevent them, the patient will receive specific antimicrobials.
If you have been the victim of a sexual violation and have not sought medical help, we recommend seeking the assistance of an infectious disease doctor to determine if there was any type of infection and treat it.