Medical Director, Child Abuse and Neglect Service

• Pediatrics / Primary Care Pediatrics
• Pediatrics / Child Abuse and Neglect Service

Address:
4020 North Roxboro Street
Durham, NC 27704

Appointment Telephone:
919-479-2690

Office Telephone:
919-479-2691

Fax Telephone:
919-471-2531

• MD, University of Texas Medical Branch School of Medicine

• Pediatrics, Duke University Medical Center, 1983-1986

• Robert Wood Johnson Clinical Research Fellowship, Duke University Medical Center, 1986-1988

Clinical Interests:
Primary care pediatrics, evaluations for child physical abuse, sexual abuse, neglect

Research Interests:
Areas of Interest:
Interests include:  -child abuse and neglect prevention(Period of Purple Crying    
                    prevention program for Shaken Baby Syndrome),
                   -community response to child abuse/neglect,
                   -inflicted and accidental traumatic brain injury,
                   -medical training in child abuse and neglect
                   -likelihood of disclosure to a doctor in the exam room versus
                    disclosure through separate diagnostic interview,
                   -medical standards and quality assurance in abuse/neglect medical
                    evaluations,
                   -relationship of disclosure pattern and content between children
                    having significant physical findings and those with normal exams
                    for sexual and physical maltreatment

Representative Publications:
Narayan AP, Socolar RR, St Claire K. Pediatric residency training in child abuse and neglect in the United States. Pediatrics. 2006 Jun;117(6):2215-21. (2006) Abstract

Sinal SH, Lawless MR, Rainey DY, Everett VD, Runyan DK, Frothingham T, Herman-Giddens M, St Claire K. Clinician agreement on physical findings in child sexual abuse cases. Arch Pediatr Adolesc Med. 1997 May;151(5):497-501. (1997) Abstract

Hill GB, St Claire KK, Gutman LT. Anaerobes predominate among the vaginal microflora of prepubertal girls. Clin Infect Dis. 1995 Jun;20 Suppl 2:S269-70. (1995) Abstract

Gutman LT, St Claire KK, Everett VD, Ingram DL, Soper J, Johnston WW, Mulvaney GG, Phelps WC. Cervical-vaginal and intraanal human papillomavirus infection of young girls with external genital warts. J Infect Dis. 1994 Aug;170(2):339-44. (1994) Abstract

Gutman LT, St Claire KK, Weedy C, Herman-Giddens M, McKinney RE Jr. Sexual abuse of human immunodeficiency virus-positive children. Outcomes for perpetrators and evaluation of other household children. Am J Dis Child. 1992 Oct;146(10):1185-9. (1992) Abstract

Gutman LT, St Claire K, Herman-Giddens ME, Johnston WW, Phelps WC. Evaluation of sexually abused and nonabused young girls for intravaginal human papillomavirus infection. Am J Dis Child. 1992 Jun;146(6):694-9. (1992) Abstract

Gutman LT, St Claire KK, Weedy C, Herman-Giddens ME, Lane BA, Niemeyer JG, McKinney RE Jr. Human immunodeficiency virus transmission by child sexual abuse. Am J Dis Child. 1991 Feb;145(2):137-41. (1991) Abstract

Gutman LT, St Claire K, Herman-Giddens ME. Prevalence of sexual abuse in children with genital warts. Pediatr Infect Dis J. 1991 Apr;10(4):342-3. (1991) Abstract

Tyring S, Klager K, Luk A, Messiha F, Lefkowitz S. Ethanol, disulfiram, and pyrazole: effects on interferon production in mice. Immunopharmacology. 1979 Dec;2(1):63-72. (1979) Abstract

Lefkowitz SS, Klager K. Effect of delta9-tetrahydrocannabinol on in vitro sensitization of mouse splenic lymphocytes. Immunol Commun. 1978;7(5):557-66. (1978) Abstract

Lefkowitz SS, Klager K, Nemeth D, Pruess M. Immunosuppression of mice by delta-9-tetrahydrocannabinol. Res Commun Chem Pathol Pharmacol. 1978 Jan;19(1):101-7. (1978) Abstract