When children are brought to a doctor with suspected injuries related to abuse or neglect, they often undergo MRIs and other screenings. Now, an international group is calling for pediatricians to examine siblings who may have been exposed to abuse.
in JAMA Pediatrics, a group of 26 pediatricians and radiologists with experience working with cases of suspected child abuse calls for the routine examination of “contact children” — siblings, children who live with a suspected victim and those cared for by suspected perpetrators.
Physicians should examine these children’s skin, ears, throat, genitalia and growth, the statement says, and children under age 2 should also have their bonesThese examinations should occur even if the contact children appear to be asymptomatic, the statement says, because injuries such as hemorrhages and torn ligaments may be only visible with imaging.
Current guidelines on contact children are variable or nonexistent, the committee writes, with up to 40 percent of contact children going unscreened. Yet children living in the same home or in contact with the same caretaker often undergo the same maltreatment: In one 2005 of the siblings of suspected abuse victims, for example, researchers found that in 37 percent of cases, all of the siblings were maltreated, and in 20 percent some, but not all, of the siblings were abused.Old injuries are often discovered while examining a child with injuries that potentially show new maltreatment. In one 2018 study, for example, researchers
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