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Vulvovaginitis, Prepubescent

Sarah Parrott, DO Reviewed 06/2019
 


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

Obtain careful history addressing any recent respiratory or enteric infections in the patient or a close family member. Symptoms may include: 
  • Vaginal discharge (44.4%)

  • Vaginal itching ...

TREATMENT

  • The definitive diagnosis of bacterial vulvitis requires a culture of vulva and vaginal secretions.

  • The typical colony count and bacterial mix are unknown in prepubescent girls. Antibiotic use...

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
Cemek F, Odabaş D, Şenel Ü, et al. Personal hygiene and vulvovaginitis in prepubertal children. J Pediatr Adolesc Gynecol.  2016;29(3):223–227. [View Abstract on OvidMedline]
2
Gorbachi...

ADDITIONAL READING

  • Delago C, Finkel MA, Deblinger E. Urogenital symptoms in premenarchal girls: parents’ and girls’ perceptions and associations with irritants. J Pediatr Adolesc Gynecol.  2012;2...

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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