Vulvovaginitis in premenarcheal girls: clinical features and diagnostic evaluation.

摘要: Fifty-four premenarcheal patients (median age 5.8 years) with symptoms or signs of vulvovaginitis were studied, and the results cultures vaginal secretions compared those from an age-matched control group. Vaginal discharge was found on examination in 24 42 a complaint discharge, two 12 without discharge. Convincing evidence bacterial monilial infection 14 26 examination, but none 28 (P less than .001). In latter group pinworm infestation present one patient. Moniliasis occurred exclusively girls who pubertal Four to have gonorrhea. No patient appeared caused by Bacteroides sp, Chlamydia trachomatis, viruses, Trichomonas vaginalis. Noninfectious causes identified four 13 .025); most common cause poor hygiene, implicated six patients. Bubble bath use only 22 patients, no specific could be identified. All hygiene as cause, demonstrable etiology, recovered after being advised institute improved perineal hygiene. Patients are likely infections, therefore should taken, particular for Neisseria gonorrhoeae. Genital pruritus prepubertal has little etiologic specificity, it suggests presence vaginitis.