Vulvovaginitis
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- 作者：Tamar Stricker
- 关键词：acute vaginitis ; adolescent ; cervicitis ; pediatrics ; prepubertal ; sexual abuse ; review ; sexually transmitted diseases ; vaginal foreign body ; vulvovaginitis
- 刊名：Paediatrics and Child Health
- 出版年：2010
- 出版时间：March 2010
- 年：2010
- 卷：20
- 期：3
- 页码：143-145
- 全文大小：68 K
文摘
The evaluation of vulvovaginitis, which is common in pediatric practice, depends on the pubertal development of the patient, keeping the possibility of sexual abuse in mind. Prepubescent girls are especially susceptible to vulvovaginitis because of anatomic and hormonal factors and because of their tendency to have poor local hygiene. If symptoms persist despite hygienic measures vaginal secretions should be investigated microbiologically and specific antimicrobial treatment prescribed accordingly. When the major complaint is of perineal pruritus, especially at night, empirical treatment with Mebendazole can be considered. In adolescents, who usually present with vaginal discharge, pruritus or dysuria, the pH of vaginal secretions should be tested and the secretions should be examined under the light microscope and sent for microbiological investigations. Physiologic leukorrhea is a common cause of vaginal discharge in adolescents. In the sexually active adolescent a complete pelvic examination with speculum should be performed including evaluation of endocervical specimen for sexually transmitted pathogens. Treatment is then directed at the specific cause. The diagnosis of one sexually transmitted disease necessitates investigation for others and treatment of the partner.