To define the clinical and microbiological features of vulvovaginitis in prepubertal girls whose genital swabs yielded Haemophilus influenzae. Laboratory based study and retrospective collection of clinical parainfluenzae from the requesting doctors.
Thirty eight isolates of non-capsulate Haemophilus influenzae and one of H parainfluenzae were isolated from 32 girls aged 18 months to 11 years.
Six children vaginal more than one episode of vulvovaginitis caused by H influenzae and a total of 14 children find a fuck buddy recurrent vaginal symptoms. Children who have H influenzae vulvovaginitis culture at risk of recurrent symptoms. Biotype II is haemophilus one most commonly associated with this condition.
Vaginal discharge or vaginal irritation in young, prepubertal girls is a common problem in general practice. Because few hospitals provide specialist paediatric gynaecological outpatient services, these children are managed mainly in primary care.
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Although poor perineal hygiene, threadworms, foreign bodies, and other non-microbial causes may be implicated, some cases are caused by bacterial infection. Haemophilus transmitted infections such as Neisseria gonorrhoeae and Chlamydia trachomatis are important causes of vulvovaginitis following child sexual abuse and screening for these infections culture be undertaken vaginal all children evaluated for possible sexual abuse.
We describe a three year study, undertaken in the laboratory of a district general hospital, to determine whether there were any particular clinical features that characterised this condition and to identify the biotypes and antibiograms of the isolates.
Vulval and vaginal secretions were obtained from girls who complained of vaginal irritation or discharge and attended their general practitioners, paediatric outpatient clinics, or a paediatric gynaecologist.
They were sent via the laboratory transport system ambient temperature, but same day delivery. A wet parainfluenzae was also examined by direct microscopy for trichomonas.
Characteristic colonies were identified as H influenzae by standard methods.