medigraphic.com
SPANISH

Atención Familiar

ISSN 1405-8871 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2013, Number 2

<< Back Next >>

Aten Fam 2013; 20 (2)

Etiology and Treatment of Vulvovaginitis in Prepubertal Patients

Moreno-González AM, Sánchez-Medina J, Romano-Mazzotti L
Full text How to cite this article

Language: Spanish
References: 19
Page: 51-54
PDF size: 284.35 Kb.


Key words:

vulvovaginitis, Pediatrics, Adolescent Medicine.

ABSTRACT

Objective: describe the microbiological etiology of vulvovaginitis in prepubertal patients attended in the General Pediatrics consultation at the Mexico Children’s Hospital “Federico Gomez”. Material and methods: descriptive and longitudinal study. There were incorporated, from June 2007 until July 2009, into the study 36 girls with symptoms and clinical signs of vulvovaginitis, who in addition to meet the criteria of age had to be pre-pubescent. To those patients with vulvovaginitis supported clinical data had to carry out vaginal cultures for bacteria, direct examination in search of culture for fungi and fungal forms, general examination of urine, stool culture and Graham test. Results: the most frequent symptomatology was transvaginal discharge 86% and vaginal itching 83%. Within physical examination there were as more consistent data vaginal erythema in 94% and vaginal discharge in 89%. The Positive cultures for Escherichia coli were 88%. The most frequent was vulvovagnitis of nonspecific etiology. Conclusions: it was not possible to identify in the local or global literature treatment guides for such common pediatric condition. This is reflected in an inappropriate treatment, the recurrence of the condition, and the misuse of antibiotics.


REFERENCES

  1. Stricker T, Navratil F, Sennhauser FH. Vulvovaginitis in prepubertal girls. Arch Dis Child. 2003;88:324-6.

  2. Sánchez M. Ginecología pediátrica y de la adolescencia: una especialidad joven. Revista Peruana de Pediatría. 2003;56(2):26-8.

  3. Van Neer PA, Korver CRW. Constipation presenting as recurrent vulvovaginitis in prepubertal children. J Am Acad Dermatol. 2000;43:718-9.

  4. Behrman RE, Kliegman RM, Jenson HB. Nelson: Textbook of pediatrics. 17th ed. Philadelphia: W.B. Saunders. 2004:p.1828-32.

  5. Kokotos F. In brief: Vulvovaginitis. Pediatrics in Review. 2006;27:116-7 .

  6. Escobar ME, et al. Recomendaciones para el diagnóstico y tratamiento de vulvovaginitis (VV) en niñas prepúberes. Arch.argent.pediatr. 2000;98(6):412.

  7. Creatsas G, et al. Combined oral and vaginal treatment of severe vulvovaginitis during childhood. J Pediatr Adolesc Gynecol. 1999;12:23-6.

  8. Jones R. Childhood vulvovaginitis and vaginal discharge in general practice. Family Practice. 1996;13:369-72.

  9. Cuadros J, et al. The aetiology of paediatric inflammatory vulvovaginitis. Eur J Pediatr. 2004;163:105-7.

  10. Manohara J, Chetan S, et al. Do we need to treat vulvovaginitis en prepubertal girls? BMJ. 2005;330:186-8.

  11. Laspina F, et al. Agentes etiológicos de vulvovaginitis en niñas. Mem. Inst. Investiga. Cienc. Salud. 2005;3(1):9-14.

  12. Davis VJ. What the paediatrician should know about paediatric and adolescent gynecology: The perspective of a gynecologist. Ginecological subspecialty notes. Journal of reproductive medicine. 2003;3:103-7.

  13. Fischer GO.Vulvar disease in prepubertal girls. Australas J Dermatol. 2001;42:225-36.

  14. International Association for the Study of Pain. 1986.

  15. Avner J. Acute fever. Pediatrics in Review. 2009;30:5-13.

  16. Jaquiery A. Vulvovaginitis: clinical features, aetiology and microbiology of the genital tract. Arch Dis Child. 1999;81:64-7.

  17. Patel H. The Abnormal Urianalysis. Pediatr Clin N Am. 2006;53:325-37.

  18. Roberts K. A synopsis of the American Academy of Pediatrics practice parameter on the diagnosis, treatment and evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics in Review. 1999;20:344-7.

  19. Barbosa G, et al. Vulvovaginitis bacteriana en la prepúber. Rev Chil Obstet Ginecol. 2005;70(2):99-102.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Aten Fam. 2013;20