Forensic science international · 2025
Contamination by sexually transmitted infections following sexual violence: A retrospective study at the Forensic Unit of Hôtel-Dieu, Paris, France.
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Geli Jeanne, Harmel Clément, Liautard Marc, Deguette Céline, Alcaraz Elizabeth, Dang Catherine, Gorgiard Charlotte, Dufayet Laurène
Аннотация
INTRODUCTION: Sexually transmitted infections (STIs) are a rising public health concern, understudied among victims of sexual violence, who are often exposed to unprotected intercourse and sometimes genital traumatism.
METHODS: We conducted a retrospective study at the Department of Forensic Medicine (DFM) of Hôtel-Dieu (Paris, France) in 2023 among the victims cared for after sexual violence. All victims who underwent STI screening were included. Data on clinical presentation, type of assault, biological results, and follow-up were collected. STI transmission likelihood was assessed based on reported acts and incubation periods. Alleged perpetrators examined in police custody in relation with sexual violence were also evaluated.
RESULTS: Among 798 victims, 525 (66.8 %) were screened for STIs. The most common infections detected were chlamydia (6.4 %) and gonorrhea (3.3 %). Other detected STIs (HIV, hepatitis B/C, syphilis) were already known to the victims. Ten victims (1.9 %) were likely infected during the assault, all with chlamydia or gonorrhea-representing 4.2 % of those with complete follow-up. Follow-up attendance was low, especially among vulnerable populations. Among 73 alleged perpetrators examined, 81 % were tested; one case of chlamydia was identified.
DISCUSSION/CONCLUSION: While STI prevalence was higher than in the general population, assault-related transmission was uncommon and exclusively bacterial. Follow-up gaps of victims and inconsistent management of alleged perpetrators limit detection and prevention. Improved coordination, systematic screening, and new care protocols are essential to enhance post-assault care.
METHODS: We conducted a retrospective study at the Department of Forensic Medicine (DFM) of Hôtel-Dieu (Paris, France) in 2023 among the victims cared for after sexual violence. All victims who underwent STI screening were included. Data on clinical presentation, type of assault, biological results, and follow-up were collected. STI transmission likelihood was assessed based on reported acts and incubation periods. Alleged perpetrators examined in police custody in relation with sexual violence were also evaluated.
RESULTS: Among 798 victims, 525 (66.8 %) were screened for STIs. The most common infections detected were chlamydia (6.4 %) and gonorrhea (3.3 %). Other detected STIs (HIV, hepatitis B/C, syphilis) were already known to the victims. Ten victims (1.9 %) were likely infected during the assault, all with chlamydia or gonorrhea-representing 4.2 % of those with complete follow-up. Follow-up attendance was low, especially among vulnerable populations. Among 73 alleged perpetrators examined, 81 % were tested; one case of chlamydia was identified.
DISCUSSION/CONCLUSION: While STI prevalence was higher than in the general population, assault-related transmission was uncommon and exclusively bacterial. Follow-up gaps of victims and inconsistent management of alleged perpetrators limit detection and prevention. Improved coordination, systematic screening, and new care protocols are essential to enhance post-assault care.