title: Comparison of clinical and microbiological features of vulvovaginitis in prepubertal and pubertal girls.
abstract: OBJECTIVE
  Vulvovaginitisis the most common gynecological problem of childhood. The aim of the study was to determine and compare clinical and microbiological features of vulvovaginitis in prepubertal and adolescent girls.
  
  
  METHODS
  In this retrospective study, the records of patients who were diagnosed with vulvovaginitis between January 2005 and December 2010 in the pediatric outpatient clinic at Fatih University Hospital were retrieved. Information regarding age, symptoms, history of antibiotic use within 1 month prior to presentation, findings on urinalysis, serum antistreptolysin-O levels, and results of urine/vaginal cultures was collected.
  
  
  RESULTS
  The records of 112 patients were evaluated, 72 of which were prepubertal (64.2%) and 40 were pubertal (35.7%) at the time of diagnosis. Thirty-eight prepubertal patients (52.7%) had a positive result on vaginal culture, the most commonly encountered microorganism being group A beta-hemolytic streptococcus (15.2%). Culture positivity rate in the pubertal group was 47.5% (19 patients), with Candida albicans being the most frequently isolated microorganism (27.5%).
  
  
  CONCLUSIONS
  The etiopathogenesis and culture results differ between prepubertal and adolescent girls with vulvovaginitis, which should be taken into consideration in the treatment approach of this disorder.
authors: Department of Pediatrics, Fatih University, Faculty of Medicine, Ankara, Turkey. aysesra@yahoo.com
authors: Ayse E
authors: AE
authors: Yilmaz
authors: Nurullah
authors: N
authors: Celik
authors: Gul
authors: G
authors: Soylu
authors: Ahsen
authors: A
authors: Donmez
authors: Cigdem
authors: C
authors: Yuksel
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002181:Candidiasis, Vulvovaginal / Q000382:microbiology / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D004927:Escherichia coli Infections / Q000382:microbiology / Q000473:pathology; D005260:Female; D006192:Haemophilus Infections / Q000382:microbiology / Q000473:pathology; D006193:Haemophilus influenzae; D006801:Humans; D011627:Puberty; D012189:Retrospective Studies; D013290:Streptococcal Infections / Q000382:microbiology / Q000473:pathology; D014621:Vagina / Q000382:microbiology / Q000473:pathology; D014844:Vulva / Q000382:microbiology / Q000473:pathology; D014848:Vulvovaginitis / Q000382:microbiology* / Q000473:pathology