Steele A M, de San Lazaro C
Department of Child Health, University of Newcastle upon Tyne, Lindisfarne Centre, Royal Victoria, Infirmary.
Arch Dis Child. 1994 Nov;71(5):423-7. doi: 10.1136/adc.71.5.423.
Vaginal swabs were examined for sexually transmissible organisms in 238 girls seen over a 36 month period from July 1989 to June 1992 inclusive. Three groups were seen (age range 1.5-16.1 years), 165 in group 1 in whom there had been a disclosure of sexual abuse, 35 in group 2 where there was a strong suspicion of sexual abuse, and 38 with vulvovaginitis who formed group 3. The isolation of recognised sexually transmitted organisms was low; however, of group 1 19% were colonised with Gardnerella vaginalis compared with 3% of group 2 and 3% of group 3. These figures show significant differences in the proportion of children in each group isolating only from children over the age of 8 years and in five of the six girls with Candida spp there was concern about sexual abuse. Vulvovaginitis in young children was not associated with vaginal candidiasis. The relation of findings to age is discussed and recommendations are made for testing procedures.
1989年7月至1992年6月(含)的36个月期间,对238名女孩进行了阴道拭子检查,以检测性传播病原体。共观察到三组(年龄范围1.5 - 16.1岁),第一组165名女孩,她们曾披露遭受性虐待;第二组35名女孩,她们被高度怀疑遭受性虐待;第三组38名患有外阴阴道炎的女孩。公认的性传播病原体的分离率较低;然而,第一组中有19%的女孩被阴道加德纳菌定植,相比之下,第二组为3%,第三组为3%。这些数据显示,仅从8岁以上儿童中分离出病原体的每组儿童比例存在显著差异,并且在6名感染念珠菌属的女孩中,有5名存在性虐待方面的担忧。幼儿外阴阴道炎与阴道念珠菌病无关。讨论了研究结果与年龄的关系,并对检测程序提出了建议。