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Ilene M. Foster
Baltimore County Health Department Towson, Md

John Bartlett, MD
The Johns Hopkins University School of Medicine Baltimore, Md

JAMA. 1989;261(23):3407.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In the age of human immunodeficiency virus (HIV) infection, physicians responsible for the initial treatment of victims of sexual assault would do well to reevaluate and update treatment procedures for female victims of rape.

Historically, victims of sexual assault have been specifically instructed not to wash or douche prior to examination by a physician. Such examinations routinely include a history, examination for injuries, collection of evidence, and counseling. With concern for the possible transmission of HIV, those caring for rape victims should consider topical treatment with nonoxynol 9, 1:10 vinegar solution, or similar anti-HIV substances (B. Voeller, personal communication, September 1988).^1,2

Much as been written in recent years of the efficacy of nonoxynol 9 in inactivation of sexually transmitted disease pathogens including HIV.^1-3 We submit that a treatment revision for victims of sexual assault should include the early administration of nonoxynol 9 as a potential . . . [Full Text PDF of this Article]

Footnotes
Edited by Drummond Rennie, MD, Deputy Editor (West).

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