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Vulvovaginitis, Prepubescent

Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Vulvitis is inflammation of the external genitals.

  • Vaginitis, often associated with vaginal discharge, is inflammation involving the vaginal mucosa.

  • In premenarchal girls, vulvitis is ...

DIAGNOSIS

HISTORY

  • In taking the history from pediatric patient, it is important to develop good rapport with the patient and family as both the history and physical exam are sensitive to discuss.

  • Sympto...

TREATMENT

  • The typical colony count and bacterial mix are unknown in prepubescent girls. Antibiotic use should be directed against the species with the highest colony count.

  • General hygiene should alway...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Monitor for fever, pruritus, and vaginal discharge. 

DIET

  • Healthy balanced diet, high in fiber to prevent constipation

  • Adequate fluid intake

PATIENT EDUCATION

REFERENCES

1
Zuckerman A, Romano M. Clinical recommendation: vulvovaginitis. J Pediatr Adolesc Gynecol.  2016;29(6):673–679
2
Cemek F, Odabaş D, Şenel Ü, et al. Personal hygiene and vulvovaginitis i...

ADDITIONAL READING

  • Joishy M, Ashtekar CS, Jain A, et al. Do we need to treat vulvovaginitis in prepubertal girls? BMJ.  2005;330(7484):186–188.

  • Velander MH, Mikkelsen DB, Bygum A. Labial agglutina...

CODES

ICD10

  • N76.0 Acute vaginitis

  • N77.1 Vaginitis, vulvitis and vulvovaginitis in dis classd elswhr

ICD9

  • 616.10 Vaginitis and vulvovaginitis, unspecified

  • 616.11 Vaginitis and vulvovaginitis in diseases cla...

CLINICAL PEARLS

  • Vulvovaginitis is the most common gynecologic problem in prepubescent girls.

  • The hypoestrogenic state and prepubescent anatomy may increase susceptibility to vulvar and vaginal infectio...

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