Vulvovaginitis among female children

Abstract EN

Objectives : To investigate the possible role of microorganisms in vulvovaginitis among girls in the region.

Methods : Vulval swabs were obtained from 50 virgin girls with abnormal vaginal discharge.

Their ages ranged from 8 months to 15 years.

They were attending the obstetrics and gynecology clinics at Basrah during 1998 and 1999.

The swabs were examined by wet preparation, Gram’s stained smear and bacteriological culture methods.

Results : The most common pathogenic bacteria were S.aureus 10 % , E.fecalis 10 %, and E.coli 8 %.

Eggs of E.vermicularis and trophozoites of T.vaginalis were recovered at a rate of 4 % and 6 % respectively.

However, Candida was diagnosed at a rate of 8 %.

Non- specific vulvo vaginitis was exceedingly common (28 %).

Candidiasis was more frequent with various concurrent lower genital tract infections.

Conclusion : Microorganisms including bacterial, mycotic and parasitic should be considered in the differential diagnosis of vulvovaginitis in order to give the proper treatment.