青春期后少女的B族链球菌性阴道炎
Group B streptococcal vaginitis in postpubertal adolescent girls.
作者信息
Clark Liana R, Atendido Marisa
机构信息
Craig-Dalsimer Division of Adolescent Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA.
出版信息
J Adolesc Health. 2005 May;36(5):437-40. doi: 10.1016/j.jadohealth.2004.03.009.
PURPOSE
The purpose of this study was to explore the clinical findings, diagnosis, and treatment of group B streptococcal (GBS) vulvovaginitis in a sample of adolescent girls and young women found to have this condition.
METHODS
Descriptive retrospective analysis of charts of 13 adolescent girls and young women found to have GBS vulvovaginitis was performed.
RESULTS
Of the girls and young women with GBS vulvovaginitis, almost all were found to have a purulent vaginal discharge (n = 12). Three had frank cervicitis and/or vaginitis on examination. Only 1 was diagnosed accurately with GBS vulvovaginitis at the time of the visit and 4 were treated with appropriate antibiotics at the time of the visit.
CONCLUSIONS
GBS vulvovaginitis is a poorly diagnosed disease entity in the adolescent and young adult population. Further study is needed in the epidemiology of GBS vaginitis in postpubertal adolescent girls and women to improve the recognition, pathogenesis, and treatment of GBS vaginitis.
目的
本研究旨在探讨在确诊患有B族链球菌（GBS）外阴阴道炎的青春期女孩和年轻女性样本中的临床发现、诊断及治疗情况。
方法
对13名确诊患有GBS外阴阴道炎的青春期女孩和年轻女性的病历进行描述性回顾分析。
结果
在患有GBS外阴阴道炎的女孩和年轻女性中，几乎所有人都有脓性阴道分泌物（n = 12）。三人在检查时有明显的宫颈炎和/或阴道炎。就诊时只有1人被准确诊断为GBS外阴阴道炎，4人在就诊时接受了适当的抗生素治疗。
结论
GBS外阴阴道炎在青少年和年轻成人中是一种诊断不足的疾病实体。需要对青春期后少女和女性GBS阴道炎的流行病学进行进一步研究，以提高对GBS阴道炎的认识、发病机制及治疗水平。
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