ORIGINAL ARTICLE

Vulvovaginitis in prepubertal girls

T Stricker, F Navratil and F H Sennhauser

University Chidren’s Hospital, Zurich, Switzerland

Correspondence to:
Correspondence to:
Dr T Stricker, University Chidren’s Hospital, Steinwiesstrasse 75, CH-8032 Zurich, Switzerland;
Tamar.Stricker{at}kispi.unizh.ch

This retrospective study evaluated the clinical features and findings in bacterial cultures and in microscopic examination of vaginal secretions in 80 prepubertal girls, aged 2–12 years, with vulvovaginitis. Vaginal secretions were obtained directly from the vagina with a sterile catheter carefully inserted into the vagina. Pathogenic bacteria were isolated in 36% of cases. In 59% of these cases the isolated pathogen was group A ß-haemolytic streptococcus. Candida was not found in any of the patients. The finding of leucocytes in vaginal secretions as an indicator for growth of pathogenic bacteria had a sensitivity of 83% and a specificity of 59%. Antimicrobial treatment should therefore be based on bacteriological findings of vaginal secretions and not on the presence of leucocytes alone.

Keywords: vulvovaginitis; prepubertal girls

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