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[Vulvo-vaginitis in pediatric age]

S Beolchi1, C Brambilla, P Roberti

  • 1Divisione di Ostetricia e Ginecologia, Ospedale Vittore Buzzi, Milano.

Minerva Pediatrica
|November 1, 1993
PubMed
Summary

Microscopic examination combined with bacteriological analysis improves the diagnosis of pediatric vulvo-vaginitis. This combined approach accurately identifies infections, guiding appropriate treatment for young patients.

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Area of Science:

  • Pediatric Gynecology
  • Infectious Diseases

Background:

  • Vulvo-vaginitis is common in pediatric gynecology.
  • Diagnosis is challenging due to non-specific symptoms like itching and pain, and signs such as leucoxanthorrhea.

Purpose of the Study:

  • To evaluate the diagnostic utility of bacteriological and microscopical examinations for non-specific vulvo-vaginitis in pediatric patients.
  • To determine the most effective diagnostic strategy for accurate treatment guidance.

Main Methods:

  • Analysis of 215 cases of non-specific vulvo-vaginitis at Vittore Buzzi Hospital's pediatric gynecology clinic.
  • Comparison of results from bacteriological examination of vaginal secretions (vaginal tampon) and microscopical examination.

Main Results:

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  • Vaginal tampon tests were positive in 47% of cases and negative in 53%.
  • Microscopical examination demonstrated high sensitivity (81.8%) and specificity (77.4%).
  • Bacteriological tests showed a lower positive predictive value (62.2%) due to in vitro growth of opportunistic germs.

    • Conclusions:

    • Microscopical examination is crucial for identifying all cases requiring treatment.
    • Bacteriological examination is essential for selecting the correct therapy.
    • Combining both microscopical and bacteriological examinations offers a more accurate diagnostic approach for pediatric vulvo-vaginitis.