Post-Exposure Prophylaxis for Sexually Assaulted Child

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Initiate post-exposure prophylaxis (PEP) after rape or sodomy as soon as possible because it is most effective if begun within 24 hours of the assault and is probably ineffective after 72 hours. Also, consider prophylaxis in other situations, such as exposure to contaminated medical equipment, blood, or other bodily fluids and after human bites with disruption to the skin.

• Prior to offering PEP
  Do a rapid HIV test & start PEP only if negative
  If positive offer emotional support and supportive counselling, assess for ART eligibility and provide comprehensive care.

Empirically treat for bacterial STI and vaccinate against HBV

• Offer emergency contraception to adolescents if they have evidence of sexual maturation.
• Offer trauma counselling to the child and caregivers
• Alert authority as appropriate
• Refer as appropriate to legal services
• Keep good record keeping in view that sexual assault is a criminal offence.