小児集団における外陰膣炎：病因、乳房発達の年齢および皮なめ込みの病因の関係

はじめに：外陰膣炎は、すべての小児婦人科の相談の25％を占めています。 目的：乳房発達の年齢となめし工場の病期分類に基づいて、外陰膣炎の病因を評価する。 MATERIAL AND METHODS: Descriptive, cross-sectional study conducted between January 1st and December 31st, 2011. Patients with vulvovaginitis were assessed based on two outcome measures: age group (GI: 0 to 8.9 years old, GII: 9 to 15.9 years old, and GIII: 16 to 18 years old), and the Tanner staging of breast development (I, II-III, IV-V).結果。29人の患者が含まれ、GIグループに78人の少女、GIIグループに134人、GIIIグループに17人が含まれていました。81人の少女は、Tiとして分類され、36人がTii-IIIに分類され、112人がTANNERステージングに基づいてTIV-Vに分類されました。そずみとオキシリスは、若い女の子で最も一般的に発見された病因でした。カンジダ・アルビカンス、他のカンジダ種、ガルドネラ、尿素症尿素症は、高齢患者で最も一般的に観察される細菌でした。オキシュリスは、麻痺した女の子で、微妙な女の子のカンジダ・アルビカンスでは支配的でした。 結論：外陰部の病因の観点から、ホルモンの影響は患者の年齢よりも関連性がありました。

INTRODUCTION: Vulvovaginitis accounts for 25% of all pediatric gynecology consultations. OBJECTIVE: To assess the etiology of vulvovaginitis based on age and Tanner staging of breast development. MATERIAL AND METHODS: Descriptive, cross-sectional study conducted between January 1st and December 31st, 2011. Patients with vulvovaginitis were assessed based on two outcome measures: age group (GI: 0 to 8.9 years old, GII: 9 to 15.9 years old, and GIII: 16 to 18 years old), and the Tanner staging of breast development (I, II-III, IV-V). Results. Two hundred and twenty-nine patients were included, 78 girls in the GI group, 134 in the GII group, and 17 in the GIII group; 81 girls were classified as TI, 36 as TII-III, and 112 as TIV-V based on Tanner staging. Shigella and Oxyuris were the most commonly found etiologic agents in younger girls. Candida albicans, other Candida species, Gardnerella and Ureaplasma urealyticum were the germs most commonly observed in older patients. Oxyuris was predominant in prepubertal girls, while Candida albicans, in postpubertal girls. CONCLUSIONS: Hormonal influence was more relevant than the patient's age in terms of vulvovaginitis etiology.