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Childhood vulvovaginitis

Author(s): M Esmaeili | HR Kianifar

Journal: Iranian Journal of Pediatrics
ISSN 2008-2142

Volume: 16;
Issue: 2;
Start page: 131;
Date: 2006;
Original page

Keywords: "Vulvovaginitis | vaginitis | prepubertal | vaginal | discharge | childhood "

Background: The aim of this study was to evaluate clinical findings, microscopic examination and culture of vaginal secretions, and response to treatment in prepubertal girls with vulvovaginitis. Methods: We studied prospectively over a period of about 6 years in a clinic for pediatric kidney and urinary tract diseases, 171 girls aged 2.5 -8 years with urogenital symptoms. Findings: Dysuria, erythema, itching, soreness, and vaginal discharge were frequently observed genital symptoms and signs. Pathogenic bacteria were isolated in 27% of cases, Streptococcus pyogenes being a common agent. Nonpathogenic enteric flora was isolated in about 43%. There was no growth of bacteria in 30%. Poor hygiene was an associated factor in those with nonpathogenic positive culture (p = 0.001). Purulent vaginal discharge occurred more in cases with vulvovaginal pathogenic infection than in those with negative culture, and this difference was statistically significant (P
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