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Published on: February 10, 2011
[Anaerobic microflora of praepubertal children (author's transl)]
Insights
Anaerobic bacteria are a significant part of the lower genital tract flora in healthy children and those with vaginal discharge. This study identified common aerobic and anaerobic species in young patients.
Area of Science:
- Gynecology
- Pediatrics
- Microbiology
Background:
- The vaginal and cervical flora in prepubertal children is not well-characterized.
- Understanding the microbial composition is crucial for diagnosing and treating genitourinary conditions in this age group.
Purpose of the Study:
- To investigate the aerobic and anaerobic bacterial flora of the vagina and cervix in healthy prepubertal children and those with vaginal discharge.
- To identify prevalent bacterial species in the lower genital tract of pediatric patients.
Main Methods:
- Bacteriologic cultures were obtained vaginascopically from 38 children (3 months to 16 years).
- Samples were analyzed for both aerobic and anaerobic bacteria using anaerobic transport media.
- Species identification was performed for isolated aerobic and anaerobic bacteria.
Main Results:
- An average of 5.3 bacterial species (2.9 aerobic, 2.5 anaerobic) were isolated per child.
- Common anaerobes included Peptococcus, Peptostreptococcus, Bact. melaninogenicus, Proprionibacterium, and Veillonella parvula.
- Prevalent aerobes identified were Enterococci, E. coli, and Staphylococcus epidermidis.
Conclusions:
- Anaerobic bacteria constitute a significant component of the lower genital tract flora in healthy children.
- This microbial presence is also noted in children experiencing vaginal discharge.
- The findings highlight the importance of considering anaerobic bacteria in pediatric genitourinary health.
Abstract:
Bacteriologic cultures of the vagina and the cervix of 38 praepubertal children, aged 3 months to 16 years (average age 9 years) from the outpatient department for infants and juveniles of the 1st Department of Obstetrics and Gynecology of the University of Vienna were obtained vaginascopically using anaerobic transportmedia (Port a Cul) and were examined for aerobic and anaerobic bacteria. An average of 5.3 species was also isolated per child (2.9 aerobic and 2.5 anaerobic species). The commonest anaerobes were Peptococcus, Peptostreptococcus, Bact. melaninogenicus, Proprionibacterium and Veillonella parvula, the prevalent aerobes, were Enterococci, E coli and Staphylococcus epidermidis. Our results suggest that anaerobic bacteria amount a significant component of the flora of the lower genital-tract of healthy children, as well as of infants with vaginal discharge.
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