medigraphic.com
SPANISH

Revista Mexicana de Pediatría

ISSN 0035-0052 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2008, Number 6

<< Back Next >>

Rev Mex Pediatr 2008; 75 (6)

Frequency of vaginosis in girls and adolescents in a Family Clinical Center

Ortiz ZMC, Pedraza AAG, Dávila MR, Valencia GC
Full text How to cite this article

Language: Spanish
References: 19
Page: 257-260
PDF size: 128.22 Kb.


Key words:

Prevalence, bacterial vaginosis, vulvovaginitis.

ABSTRACT

Objectives. To study the frequency of bacterial vaginosis in girls with diagnosis of vulvovaginitis in a Family Clinical Center. Material and methods. It is a prospective, observational, descriptive, and transversal study in 288 girls with clinical diagnosis of vaginosis done by microbiological study. Results. The greater microbiological frequency of vaginosis was bacterial vaginosis (50.3%), E. coli (30.3%) and Candida spp (15.3%) respectively. The bacterial vaginosis appeared most frequently in 11 to 17 years old girls. «The key cells» shown the greatest sensibility (90%), specificity (84%), positive (83%) and negative (90%) predictive values. Conclusions. The most frequent cause of vulvovaginitis in girls is the bacterial vaginosis. The diagnosis must be done with a Gram stain of the secretion and observation or the «key cells» in a fresh preparation. The bacterial vaginosis as a unique and sole agent was found in 46.2%.


REFERENCES

  1. Romero FP. Vulvovaginitis en niñas adolescentes. Rev Chil Pediatr 1999; 70(3): 242-7.

  2. Cuadros J, Mazon A, Martínez R, González P, Gil-Setas A, Flores U et al. The aetiology of paediatric inflammatory vulvovaginitis. Eur J Pediatric 2004; 163(2): 105-7.

  3. Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach DA, Holmes KK. Nonspecific vaginitis: diagnostic criteria and microbial and epidemiologic associations. Am J Med 1983; 74: 14-22.

  4. Hammerschlag MR, Alpert S, Rosner I, Thurston P, Semine D, McComb D, McCormack WM. Microbiology of the vagina in children: Normal and potentially pathogenic organisms. Pediatries 1978; 62(1): 57-62.

  5. Barbosa RG, Sánchez DP. Vulvovaginitis bacteriana en la prepúber. Rev Chil Obstet Ginecol 2005; 70(2): 99-102.

  6. Barbosa RG, Olguí MR. Caracterización de la vulvovaginitis prepuberal en una comunidad urbana. UNIVMED 2007; 48(2): 89-96.

  7. Nugent RP, Krohn MA, Hillier SL. Reliability of diagnosing bacterial vaginosis is improved by a standardized method of Gram stain interpretation. J Clin Microbiol 1991; 29(2): 297-301.

  8. Fredricks DN, Fiedler TL, Thomas KK, Oakley BB, Marrazzo JM. Targeted PCR for detection of vaginal bacteria associated with bacterial vaginosis. J Clin Microbiol 2007; 45(10): 3270-6.

  9. Gardner JJ. Comparison of the vaginal flora in sexually abused and nonabused girls. J Pediatr 1992; 120(6): 872-7.

  10. Ingram DL, Everett VD, Lyna PR, White ST, Rockwell LA. Epidemiology of adult sexually transmitted disease agents in children being evaluated for sexual abuse. Pediatr Infect Dis J 1992; 11(11): 945-50.

  11. Bartley LD, Morgan L, Rimsza ME. Gardnerella vaginalis in prepubertal girls. Am J Dis Child 1987; 141(9): 1014-7.

  12. Gayón VE, Hernández OH, Soto SS, Lombardo AE, Rodríguez HR. El cultivo vaginal en el diagnóstico de vulvovaginitis en niñas y adolescentes. Acta Pediatr Méx 2005: 26(3): 141-8.

  13. Lugones BM, Quintana RT. Algunas afecciones y problemas de interés de la ginecología infantojuvenil en la atención primaria. Rev Cubana Med General Integral 1998; 14(1): 81-92.

  14. Koneman EW, Allen SD, Dowell VR, Janda WM, Sommers HM, Winn WC. Diagnóstico microbiológico. México: Panamericana. 1997.

  15. Lugones BM, Occeguera CA. La atención ginecológica en niñas de 0 a 10 años. Rev Cubana Med General Integral 2002: 18(3): 191-4.

  16. Linaldi CA. Vaginitis por Gardnerella vaginalis en niñas y adolescentes. Bol Med Hosp Infan Mex 1988: 45: 101-3.

  17. Velarde JE, Estrada RE, Raya RA, Velázquez AE, Nava OA. Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity. Salud Pública Méx 2003; 45 Suppl 5: S641-46.

  18. Thomason JL, Gelbart SM, Anderson RJ, Walt AK, Osypowski PJ, Broekhuizen FF. Statistical evaluation of diagnostic criteria for bacterial vaginosis. Am J Obstet Gynecol 1990; 162(1): 155-60.

  19. González PA, Mota VR, Ortíz ZC, Ponce RR. Factores de riesgo asociados a vaginosis bacteriana. Aten Primaria 2004: 34(7): 360-5.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Pediatr. 2008;75