Caracterización de la vulvovaginitis prepuberal en una comunidad urbana.

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Bibliographic Details
Title:	Caracterización de la vulvovaginitis prepuberal en una comunidad urbana.
Authors:	Barbosa, Gabriel¹, Olguí, María Rosa²
Source:	Universitas Médica. abr-jun2007, Vol. 48 Issue 2, p89-96. 8p.
Subjects:	VULVOVAGINITIS, DISEASES in girls, PEDIATRIC gynecology, STAPHYLOCOCCUS aureus, CANDIDA albicans
Abstract (English):	Aims. To describe the isolated pathogens in a population of prepuberal girls with diagnosis of vulvovaginitis who consulted a Pediatric Gynecology Unit in Santiago, Chile. Methods. Retrospective chart review of girls who presented with vulvovaginitis as chief complaint or as second diagnosis, from January 1st, 2004, to August 31st, 2005. Results. Total consultations: 2,235; global incidence of vulvovaginitis: 39%, of those 54% were prepuberal, of those 78% were unspecific vulvovaginitis and 22% specific. Isolated specific microorganisms: Staphylococcus aureus 25%, Enterobius vermicularis 21,9%, Candida albicans 18%, group A Streptococcus 12,5%, Neisseria gonorrhoeae 6,3%, Hemophilus influenzae 6,3%, human papiloma virus, 1,3%, Gardnerella vaginallis, 3,1%, and Streptococcus pneumoniae, 3,1%. Conclusion. Unspecific vulvovaginitis was the single chief diagnosis in prepuberal patients. Specific cases were mainly due to S. aureus, followed by E. vermicularis. C. albicans is a rare cause of vulvovaginitis in otherwise healthy prepuberal girls, and is always associated to risk factors. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivos. Describir los patógenos aislados en una población de niñas prepúberes con diagnóstico de vulvovaginitis, que consultaron a una Unidad de Ginecología Pediátrica en Santiago de Chile. Métodos. Se hizo una revisión retrospectiva de las fichas clínicas de las niñas con vulvovaginitis como primero o segundo diagnóstico, desde el l0 enero de 2004 al 31 de agosto de 2005. Resultados. El número de consultas fue de 2235; pacientes nuevas: 699; incidencia global de consulta por secreción vaginal: 39%; 54% eran de prepúberes, de las cuales, 78% correspondieron a vulvovaginitis inespecíficas y 22% a específicas. Los microorganismos patógenos aislados fueron: Staphylococcus aureus, 25 %; Enterobius vermicularis, 21,9%; Candida albicans, 18%; Streptococcus, grupo A, 12,5%; Neisseria gonorrhoeae, 6,3%; Haemophilus influenzae, 6,3%; virus del papiloma humano, 3,1%; Gardnerella vaginallis, 3,1%, y Streptococcus pneumoniae, 3,1%. Conclusión. La vulvovaginitis inespecífica fue el principal diagnóstico ginecológico en pacientes prepúberes. Los casos específicos fueron principalmente debidos a S. aureus, seguido por E. vermicularis. C. albicans es una causa poco frecuente de vulvovaginitis en pacientes prepúberes y se describe asociada a factores de riesgo. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Aims. To describe the isolated pathogens in a population of prepuberal girls with diagnosis of vulvovaginitis who consulted a Pediatric Gynecology Unit in Santiago, Chile. Methods. Retrospective chart review of girls who presented with vulvovaginitis as chief complaint or as second diagnosis, from January 1st, 2004, to August 31st, 2005. Results. Total consultations: 2,235; global incidence of vulvovaginitis: 39%, of those 54% were prepuberal, of those 78% were unspecific vulvovaginitis and 22% specific. Isolated specific microorganisms: Staphylococcus aureus 25%, Enterobius vermicularis 21,9%, Candida albicans 18%, group A Streptococcus 12,5%, Neisseria gonorrhoeae 6,3%, Hemophilus influenzae 6,3%, human papiloma virus, 1,3%, Gardnerella vaginallis, 3,1%, and Streptococcus pneumoniae, 3,1%. Conclusion. Unspecific vulvovaginitis was the single chief diagnosis in prepuberal patients. Specific cases were mainly due to S. aureus, followed by E. vermicularis. C. albicans is a rare cause of vulvovaginitis in otherwise healthy prepuberal girls, and is always associated to risk factors. [ABSTRACT FROM AUTHOR]
ISSN:	00419095