Comparison of clinical and microbiological features of vulvovaginitis in prepubertal and pubertal girls

作者: Ayse E. Yilmaz , Nurullah Celik , Gul Soylu , Ahsen Donmez , Cigdem Yuksel

DOI: 10.1016/J.JFMA.2011.05.013

关键词: MedicineOutpatient clinicAntibiotic useVaginal culturePediatricsUniversity hospitalRetrospective cohort studyUrineUrinalysis

摘要: Background/Purpose Vulvovaginitisis the most common gynecological problem of childhood. The aim study was to determine and compare clinical microbiological features vulvovaginitis in prepubertal adolescent girls. Methods In this retrospective study, records patients who were diagnosed with between January 2005 December 2010 pediatric outpatient clinic at Fatih University Hospital retrieved. Information regarding age, symptoms, history antibiotic use within 1 month prior presentation, findings on urinalysis, serum antistreptolysin-O levels, results urine/vaginal cultures collected. Results 112 evaluated, 72 which (64.2%) 40 pubertal (35.7%) time diagnosis. Thirty-eight (52.7%) had a positive result vaginal culture, commonly encountered microorganism being group A beta-hemolytic streptococcus (15.2%). Culture positivity rate 47.5% (19 patients), Candida albicans frequently isolated (27.5%). Conclusion etiopathogenesis culture differ girls vulvovaginitis, should be taken into consideration treatment approach disorder.

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