Five Years Data of Vaginal Swab Examination on Sexual Assault Cases inWest Java Top Referral Hospital, Indonesia

Machrani Febriastry, Chevi Sayusman, Zulvayanti Zulvayanti

Abstract


Background: Vaginal swab test is one of the way to prove that penile penetration has occurred by detection of spermatozoa or seminal fluid components in  vaginal fluid of sexual assault victims. It is also used for detecting sexually transmitted infection (STI) in  thevictims and identifying perpetrators’ DNA. The objective of this study was to describe vaginal swab examination result on sexual assault cases in Dr. Hasan Sadikin General Hospital, Bandung so it can be used as an evaluation material for the management of sexual assault cases and a reference for subsequent researches related to sexual assault.

Methods: Descriptive study was carried out using medical records and visumetrepertum of sexual assault victims who underwent vaginal swab examination at Dr. HasanSadikin General Hospital, Bandung from2010 to2014. Of 62 medical records which met the inclusion criteria, 3 were excluded. A total of 59 medical records were included as study subjects. Data taken were victims’ age, sexual assault’s time, examination time, penile penetration and intra-vaginal ejaculation history, also vaginal swab and STI examination result.The data were processed and presented using a frequency distribution table.

Results: Spermatozoa were found in 13 cases (22.03%). Spermatozoa were found at latest 96 hours since assault. None of the victims was detected with STI.

Conclusions: The successful rate of Spermatozoa detection by conducting vaginal swab in Dr. HasanSadikin General Hospital, Bandung is 22.03%. Spermatozoa can be detected even 72 hours post assault.


Keywords


Seminal fluid, sexual assault, spermatozoa, vaginal smear, vaginal swab

Full Text:

PDF

References


World Health Organization. Guidelines for medico-legal care of victims of sexual violence. Geneva: World Health Organization; 2003.

Komisi Nasional Anti Kekerasan Terhadap Perempuan. Kegentingan kekerasan seksual: lemahnya upaya penanganan negara. Jakarta: Komnas Perempuan; 2014.

United States Department of Justice. Office on Violence Against Women. A national protocol for sexual assault medical forensic examinations: adults/adolescents [internet] 2013 [cited 2015 January 7]. Available from:http://www.ncjrs.org/pdffiles1/ovw/206554.pdf.

Gunasekera RS, Haschke J, Costas EH. The judicial use of DNA evidence and forensic expert testimony in the criminal justice system. J Forensic Res. 2010;1(2):104–7.

McFarlane J, Malecha A, Watson K, Gist J, Batten E, Hall I, et al. Intimate partner sexual assault against women: frequency, health consequences, and treatment outcomes. Obstet Gynecol. 2005;105(1):99–108.

Akinlusi FM, Rabiu KA, Olawepo TA, Adewunmi AA, Ottun TA, Akinola OI. Sexual assault in Lagos, Nigeria: a five year retrospective review. BMC Womens Health. 2014;14(1):114–20.

de Oliveira Aded NL, de Oliveira SF, da Silva Dalcin BL, de Moraes TM, Cavalcanti MT. Children and adolescents victimized by sexual abuse in the city of Rio de Janeiro: an appraisal of cases. J Forensic Leg Med. 2007;14(4):216–20.

Bicanic IAE, Hehenkamp LM, van de Putte EM, van Wijk AJ, de Jongh A. Predictors of delayed disclosure of rape in female adolescents and young adults. Eur J Psychotraumatol. 2015;6(1):1–9.

Sathirareuangchai S, Phobtrakul R, Phetsangharn L, Srisopa K, Petchpunya S. Comparative study of spermatozoa detection using the genital swab versus bedside smear slide technique in sexual assault patients. J Forensic Leg Med. 2015;35(1):69–72.

Willott GM, Allard JE. Spermatozoa— their persistence after sexual intercourse. Forensic Sci Int. 1982;19(2):135–54.

Killick SR, Leary C, Trussell J, Guthrie KA. Sperm content of pre-ejaculatory fluid. Hum Fertil (Camb). 2011;14(1):48–52.

Astrup BS, Thomsen JL, Lauritsen J, Ravn P. Detection of spermatozoa following consensual sexual intercourse. Forensic Sci Int. 2012;221(1-3):137–41.

Girardet RG, Lahoti S, Howard LA, Fajman NN, Sawyer MK, Driebe EM, et al. Epidemiology of sexually transmitted infections in suspected child victims of sexual assault. Pediatrics. 2009;124(1):79–86.

Jänisch S, Meyer H, Germerott T, Albrecht U-V, Schulz Y, Debertin A. Analysis of clinical forensic examination reports on sexual assault. Int J Legal Med. 2010;124(3):227–35.

Ingemann-Hansen O, Brink O, Sabroe S, Sorensen V, Charles AV. Legal aspects of sexual violence–does forensic evidence make a difference?. Forensic Sci Int. 2008;180(2-3):98–104.

Culhane JF, Nyirjesy P, McCollum K, Casabellata G, Di Santolo M, Cauci S. Evaluation of semen detection in vaginal secretions: comparison of four methods. Am J Reprod Immunol. 2008;60(3):274–81.

Elgendy IS, Hassan NA. Medicolegal study of child sexual abuse in Greater Cairo, Egypt, during a 7-year period: 2005–2011. Am J Forensic Med Pathol. 2013;34(4):335–41.

Ononge S, Wandabwa J, Kiondo P, Busingye R. Clinical presentation and management of alleged sexually assaulted females at Mulago Hospital, Kampala, Uganda. Afr Health Sci. 2005;5(1):50–4.

Lewis-O’Connor A, Franz H, Zuniga L. Limitations of the national protocol for sexual assault medical forensic examinations. J Emerg Nur. 2005;31(3):267–70.

Pang BC, Cheung BK. Identification of human semenogelin in membrane strip test as an alternative method for the detection of semen. Forensic Sci Int. 2007;169(1):27–31.


Refbacks

  • There are currently no refbacks.




 

This Journal indexed by:

           

 

Creative Commons License
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 


View My Stats