To determine and compare clinical and microbiological features of vulvovaginitis in
Vulvovaginitis is the most common gynecological problem of childhood.
This study involves fortyfive
girls from 212
(5.38±2.9) years old? and twentysix
(5.72±3.1) years old as a control group. Anamnesis and physical examination
were followed by vaginal smear, urine culture and stool analyses from both groups, and
the personal hygiene status and education level of the mother were determined.
The most common symptoms among the patients were vaginal discharge (44.4%),
vulvar erythema (37.8%), and vaginal itch (24.4%). Microorganisms, isolated from
vaginal smears, were detected in 48.9% of the patients. Escherichia coli was shown in
the urine culture of three patients with vulvovaginitis (6.70%). In microscopic stool
analysis parasites were detected (45.9%). We found some relevant personal hygiene
factors, such as wiping back to front (42.9%), cleaning by herself after defecation
(89.3%), using toilet paper (60.7%) and wet wipes (21.4%), having bath by standing
(14.3%) and by sitting (46.4%), among patients. The questionnaire also showed that the
children wear tight clothing (35.7%).
Our findings suggest that vulvovaginitis in prepubertal girls is related not only to
microorganisms but also poor personal hygiene, the educational status of mothers and