儿童及青少年期外阴阴道炎

Vulvovaginitis during childhood and adolescence.

作者信息

Koumantakis E E, Hassan E A, Deligeoroglou E K, Creatsas G K

机构信息

Department of Obstetrics and Gynecology, University of Crete, Greece.

出版信息

J Pediatr Adolesc Gynecol. 1997 Feb;10(1):39-43. doi: 10.1016/s1083-3188(97)70043-3.

DOI:10.1016/s1083-3188(97)70043-3

PMID:9061634

Abstract

STUDY OBJECTIVE

To evaluate cases of vulvovaginitis treated in our institutions.

DESIGN

Follow-up of 1,778 cases of vulvovaginitis to investigate the prevalence of various pathogens involved in the disease.

SETTING

Divisions of pediatric and adolescent gynecology, university hospitals of Crete and Athens, Greece.

PARTICIPANTS

Girls 1-18 years old seen at the clinics of the above institutions.

INTERVENTIONS

None.

MAIN OUTCOME MEASURES

Vaginal culture, cytology, and vaginoscopy.

RESULTS

Vulvovaginitis was encountered in 61.8% of the gynecological problems seen during childhood and adolescence. Infections were usually located in both the vulva and the vagina (56.9%). The main symptoms were vaginal discharge (53%), erythema (33%), and pruritus (27%). Candida spp (23.0%), beta-hemolytic Streptococci group B (15.0%), and Enterococci spp (10.0%) were the most frequent pathogens involved in the disease.

CONCLUSIONS

Vulvovaginitis is a common disease during childhood and adolescence. Effective treatment, reassurance, and appropriate consultation based on the prevention of relapses are the most important steps for the management of the disease.

摘要