疑似性虐待儿童的细菌定植情况

Bacterial colonization in suspected sexually abused children.

作者信息

Kohlberger Petra, Bancher-Todesca Dagmar

机构信息

Department of Gynaecology and Obstetrics, Medical University Vienna, Vienna, Austria.

出版信息

J Pediatr Adolesc Gynecol. 2007 Oct;20(5):289-92. doi: 10.1016/j.jpag.2006.11.004.

DOI:10.1016/j.jpag.2006.11.004

PMID:17868895

Abstract

OBJECTIVE

Previous studies concluded that symptomatic prepubertal children with Gardnerella vaginalis infection should be investigated for child sexual abuse. Gardnerella vaginalis is only one out of a group of organism that cause bacterial vaginosis. The aim of the study was to report the frequency of bacterial colonization as well as sexually transmitted diseases and to correlate these data with patient characteristics.

METHODS

Data were collected from 1996 to 2006. Medical records of 180 girls, median age at first sexual abuse 7.44 years (range 1-16, SD 3.937), have been evaluated retrospectively. SPSS software 12.0 has been used for statistical analysis.

RESULTS

Only 18.3% of patients complained of vaginal discharge or pruritus. Sexually transmitted diseases were documented: Gonorrhoea 1 (1.8%, 56 tested), Chlamydia trachomatis 1 (1.6%, 62 tested), Syphilis 0 (0%, 5 tested), Trichomonas vaginalis 1 (0.7%, 136 tested) and HIV 0 (0%, 27 tested). Bacterial colonization were documented (121 tested): Gardnerella vaginalis 29 (24%), Enterobacteriaceae 50 (41.3%), Haemophilus influenzae 11 (9.1%), Streptococcus a haemolyticus 35 (28.9%), Streptococcus Group B 8 (6.6%), Staphylococcus Koag neg. 37 (30.6%), Staphylococcus aureus 10 (8.3%), Pseudomonas aeruginosa 4 (4.1%), Bacteroides 19 (15.7%), Prevotella 24 (19.8%), Klebsiella 4 (3.3%), Corynebacteria 20 (16.5%) and Ureaplasma 9 (7.4%).

CONCLUSIONS

Sexually transmitted diseases are infrequent in children suspected for child sexual abuse. Bacterial colonization is common, however, not correlated with clinical symptoms (except for Bacteroides) and hymenal/vaginal injuries.

摘要

目的

以往研究得出结论，有阴道加德纳菌感染症状的青春期前儿童应接受儿童性虐待调查。阴道加德纳菌只是引起细菌性阴道病的一组微生物中的一种。本研究的目的是报告细菌定植以及性传播疾病的发生率，并将这些数据与患者特征相关联。

方法

收集1996年至2006年的数据。对180名女孩的病历进行回顾性评估，首次性虐待时的中位年龄为7.44岁（范围1 - 16岁，标准差3.937）。使用SPSS软件12.0进行统计分析。

结果

只有18.3%的患者主诉有阴道分泌物或瘙痒。记录到的性传播疾病有：淋病1例（1.8%，检测56例），沙眼衣原体1例（1.6%，检测62例），梅毒0例（0%，检测5例），阴道毛滴虫1例（0.7%，检测136例），HIV 0例（0%，检测27例）。记录到细菌定植情况（检测121例）：阴道加德纳菌29例（24%），肠杆菌科50例（41.3%），流感嗜血杆菌11例（9.1%），甲型溶血性链球菌35例（28.9%），B组链球菌8例（6.6%），凝固酶阴性葡萄球菌37例（30.6%），金黄色葡萄球菌10例（8.3%），铜绿假单胞菌4例（4.1%），拟杆菌属19例（15.7%），普雷沃菌属24例（19.8%），克雷伯菌属4例（3.3%），棒状杆菌属20例（16.5%），解脲脲原体9例（7.4%）。