CLINICAL AND MICROBIOLOGICAL ASPECTS OF VULVOVAGINITIS IN PREPUBERTAL GIRLS

Аннотация

Vulvovaginitis is one of the most common pathologies encountered in the practice of a pediatric gynecologist. Objective: to determine the clinical and microbiological features of vulvovaginitis in prepubertal girls.Materials and methods. The study included 24 girls with vulvovaginitis and 20 healthy prepubertal girls. Risk factors, clinical signs of vulvovaginitis and vaginal microbiota were studied in girls with vulvovaginitis and in a group of healthy girls without pathology. Results. Urinary tract diseases, chronic tonsillitis, frequent ARIs in the group of girls with vulvovaginitis were encountered 2 times more often than in the group of girls without pathology. The most common symptoms of vulvovaginitis were vaginal discharge - 87.5%, vulvar redness - 83.3%, itching - 75%, burning - 66.6%, soreness - 62.5%; A combination of 2 or more symptoms was found in 58.3% of patients. The vaginal microbiocenosis in prepubertal girls with vulvovaginitis was less diverse than in healthy girls. In the group of girls with vulvovaginitis, there was a higher content of Streptococcus spp., Enterobacterium spp., Staphylococcus spp., Sneathia spp. / Leptotrihia spp. / Fusobacterium spp., Mobiluncus spp. / Corynebacterium spp. and lower levels of Peptostreptococcus spp., Lactobacillus spp., Prevotella bivia / Porphyromonas spp., Megasphaera spp. / Veillonella spp. / Dialister spp. and Lachnobacterium spp. / Clostridium spp. Conclusions: Vaginal microbiota in girls with vulvovaginitis differs significantly from the normal microbiota of healthy girls.