nl_e17

PROBABLE
ABUSE
DEFINITE
EVIDENCE OF
ABUSE OR
SEXUAL
CONTACT
1. Child has given a spontaneous, clear, consistent, and detailed description of being
molested, with or without abnormal or positive physical findings on examination
2. Positive culture (not rapid antigen test) for Chlamydia trachomatis from genital area
in prepubertal child, or cervix in an adolescent female (assuming that perinatal
transmission has been ruled out)
3. Positive culture for Herpes Simplex Type 2, from genital or anal lesions
4. Trichomonas infection, diagnosed by wet mount or culture from vaginal swab, if
perinatal transmission has been ruled out
1. Clear physical evidence of blunt force or penetrating trauma with no history of accident
2. Finding sperm or seminal fluid in or on a child’s body
3. Pregnancy
4. Positive, confirmed cultures for N. gonorrhea from vaginal, urethral, anal, or
pharyngeal source
5. Evidence of syphilis acquired after delivery (i.e., not perinatally acquired)
6. Cases where photographs or videotape show a child being abused
7. HIV infection, with no possibility of perinatal transmission or transmission via
blood products or contaminated needles