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Memorias del Instituto de Investigaciones en Ciencias de la Salud

On-line version ISSN 1812-9528


LASPINA, F et al. Etiologic agents of vulvovaginitis in girls. Mem. Inst. Investig. Cienc. Salud [online]. 2005, vol.3, n.1, pp.9-14. ISSN 1812-9528.

Vulvovaginitis (VV) is one of the most common causes of gynecological consultation in girls, especially in public hospitals. The knowledge of the frequency of the causative agents of this pathology, socio-economic conditions and hygiene practices of the affected girls will contribute to development of epidemiological control programs. Out of 196 girls with a clinical diagnosis of vulvovaginitis (presence leukorrhea and vulva irritation), 330 microorganisms were isolated being the most frequent microorganisms Gardnerella vaginalis (17%) and Candida sp (13%). The frequency of candidiasis was higher in the age group of 6 to 12 years than in younger girls and inflammatory reaction (>10 leucocytes per field) was found in 103 girls (52.6%). In this group, 34% of the girls presented G. vaginalis and 24% Candida sp. in comparison to the group without inflammatory reaction where 15% presented G. vaginalis and 17% Candida sp.(difference was not significant). Since vulvovaginitis has been frequently associated to the lack of hygiene, especially in girls younger than 5 years old, it is important to remark the presence of germs from the fecal flora such as enterobacteria (18%) and Enterococcus sp (9%). The vulvovaginitis was infectious in 52.6% of the girls while the rest was related to a lack of hygiene and generally responds to symptomatic treatments without antibiotics.

Keywords : Vulvovaginitis; Leukorrhea; Candida; Puberty.

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