{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T09:43:46Z","timestamp":1793094226104,"version":"4.5.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Child Maltreat"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>\n                    Conjunctivitis due to\n                    <jats:italic toggle=\"yes\">Neisseria gonorrhoeae<\/jats:italic>\n                    is uncommon in prepubescent children. When identified in this age group, it is highly concerning for sexual contact and warrants further evaluation. This report examines 6 cases of gonococcal conjunctivitis in prepubertal children and provides updated guidance on extragenital testing for sexually transmitted infections in this population. We retrospectively reviewed cases of gonococcal conjunctivitis in prepubertal children at our institution from 2007\u20132022. Neonates and adolescents with this condition were excluded as were cases in which confirmatory testing was not completed. Six prepubertal children had confirmed gonococcal conjunctivitis due to\n                    <jats:italic toggle=\"yes\">N. gonorrhoeae<\/jats:italic>\n                    from 2007\u20132022. Ages ranged from 8\u00a0months to 8\u00a0years. Fifty percent of cases had sexually transmitted infections at additional anatomical sites. Although rare, gonococcal conjunctivitis due to\n                    <jats:italic toggle=\"yes\">N. gonorrhoeae<\/jats:italic>\n                    in prepubertal children should prompt further comprehensive sexually transmitted infection testing and medical evaluation. Protective agency reporting is also advised.\n                  <\/jats:p>","DOI":"10.1177\/10775595251328692","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T02:11:46Z","timestamp":1742350306000},"page":"673-677","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Gonococcal Conjunctivitis in Prepubertal Children"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9224-0836","authenticated-orcid":false,"given":"Sara","family":"Kruczek","sequence":"first","affiliation":[{"name":"Rady Children\u2019s Hospital"},{"name":"Rady Children\u2019s Hospital"},{"name":"University of California at San Diego School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Dubinin","sequence":"additional","affiliation":[{"name":"University of California at San Diego School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Laub","sequence":"additional","affiliation":[{"name":"Rady Children\u2019s Hospital"},{"name":"Rady Children\u2019s Hospital"},{"name":"University of California at San Diego School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e31819b592e"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2016.11.003"},{"key":"e_1_3_3_4_1","volume-title":"Sexual assault or abuse of children","author":"Centers for Disease Control and Prevention","year":"2021","unstructured":"Centers for Disease Control and Prevention. (2021, July). Sexual assault or abuse of children. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/std\/treatment-guidelines\/sexual-assault-children.htm"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/6.6.329"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5792.88"},{"issue":"4","key":"e_1_3_3_7_1","first-page":"315","article-title":"Accidental gonococcal infection of a child\u2019s eye. unusual source of infection","volume":"50","author":"Doyle J. O.","year":"1974","unstructured":"Doyle J. O. (1974). Accidental gonococcal infection of a child\u2019s eye. unusual source of infection. British Journal of Venereal Diseases, 50(4), 315\u2013316. https:\/\/doi.org\/10.1136\/sti.50.4.315","journal-title":"British Journal of Venereal Diseases"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(03)00037-1"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00024-09"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370905400908"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-1741"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","unstructured":"Kellogg N. D. Farst K. J. Adams J. A. (2023). Interpretation of medical findings in suspected child sexual abuse: An update for 2023. Child Abuse Negl. 2023;145:106283. doi:10.1016\/j.chiabu.2023.106283","DOI":"10.1016\/j.chiabu.2023.106283"},{"key":"e_1_3_3_13_1","volume-title":"Red book. 2021-2024 report of the committee on infectious diseases","author":"Kimberlin D. W.","year":"2021","unstructured":"Kimberlin D. W. (2021). Red book. 2021-2024 report of the committee on infectious diseases (32nd ed.). American Academy of Pediatrics.","edition":"32"},{"issue":"5","key":"e_1_3_3_14_1","first-page":"546","article-title":"Gonococcal conjunctivitis in prepubertal children","volume":"144","author":"Lewis L. S.","year":"1990","unstructured":"Lewis L. S., Glauser T. A., Joffe M. D. (1990). Gonococcal conjunctivitis in prepubertal children. American Journal of Diseases of Children, 144(5), 546\u2013548. https:\/\/doi.org\/10.1001\/archpedi.1990.02150290040022","journal-title":"American Journal of Diseases of Children"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000004029"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2015.57"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(01)00091-5"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01433-19"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.3126\/nepjoph.v13i1.29021"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-016-0377-1"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.2.312"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-200302000-00014"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00335-19"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","unstructured":"Wallis C. R. D. Woodworth M. D. (2020). Child sexual abuse: An examination of individual and abuse characteristics that may impact delays of disclosure. 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