The aetiology of paediatric inflammatory vulvovaginitis

Vulvovaginitis is the most common gynaecological problem in prepubertal girls and clear-cut data on the microbial aetiology of moderate to severe infections are lacking. Many microorganisms have been reported in several studies, but frequently the paediatrician does not know the pathogenic significa...

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Bibliographic Details
Published in:European journal of pediatrics 2004-02, Vol.163 (2), p.105-107
Main Authors: CUADROS, Juan, MAZON, Ana, MARTINEZ, Rocio, GONZALEZ, Pilar, GIL-SETAS, Alberto, FLORES, Uxua, ORDEN, Beatriz, GOMEZ-HERRUZ, Pena, MILLAN, Rosario
Format: Article
Language:English
Subjects:
Antibiotics
Biological and medical sciences
Cells, Cultured
Child
Child, Preschool
Etiology
Female
Foreign bodies
Fundamental and applied biological sciences. Psychology
General aspects
Genetics of eukaryotes. Biological and molecular evolution
Girls
Humans
Hygiene
Infant
Medical sciences
Microorganisms
Microscopy
Molecular and cellular biology
Pathogens
Pediatrics
Questionnaires
Respiratory Tract Infections - complications
Risk Factors
Sex crimes
Sexual abuse
Streptococcus infections
Surveys and Questionnaires
Vagina
Vulvovaginitis - etiology
Vulvovaginitis - microbiology
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Summary:Vulvovaginitis is the most common gynaecological problem in prepubertal girls and clear-cut data on the microbial aetiology of moderate to severe infections are lacking. Many microorganisms have been reported in several studies, but frequently the paediatrician does not know the pathogenic significance of an isolate reported in vaginal specimens of girls with vulvovaginitis. A multicentre study was performed, selecting 74 girls aged 2 to 12 years old with a clinical picture of vulvovaginitis and inflammatory cells on Gram stain. All the specimens were cultured following standard microbiological techniques and the paediatricians completed a questionnaire to highlight risk factors after interviewing the parents or tutors. The data were compared with those obtained in a control group of 11 girls without vulvovaginitis attending a clinic. Streptococcus pyogenesand Haemophilus spp.were isolated in 47 and 12 cases, respectively. Upper respiratory infection in the previous month ( P
ISSN:0340-6199
1432-1076
DOI:10.1007/s00431-003-1373-x