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Vulvovaginitis, Prepubescent

para>Cultures of sexually transmitted organisms in prepubertal children warrant investigations of sexual abuse. ‚  

DIAGNOSIS


HISTORY


  • Irritation and erythema of vulva
  • Itching
  • Bleeding
  • Vaginal discharge
  • Unpleasant odor
  • Dysuria
  • Soreness

PHYSICAL EXAM


  • Look for evidence of chronic illness or dermatologic disease.
  • Look for trauma or other signs that may correlate with abuse.
  • Inspect the genital area in the supine position:
    • Excoriation of the genital area
    • Inflammation (erythema, swelling) of the introitus
    • Inspect the vagina and cervix in the knee " “chest position or frog leg position.
    • Perform rectal exam if vaginal bleeding or abdominal pain.

DIFFERENTIAL DIAGNOSIS


  • Contact dermatitis
  • Eczema
  • Psoriasis
  • Lichen sclerosus

DIAGNOSTIC TESTS & INTERPRETATION


Initial Tests (lab, imaging)
  • Culture for bacteria, fungi (yeast), or viruses (herpes)
  • Urinalysis, urine culture, and urine for STI (via nucleic acid amplification test)
  • Tape exam for pinworms
  • Potassium hydroxide and saline smears of vaginal discharge, if present
  • If an anatomic abnormality is suspected, imaging may be necessary to confirm.
  • Consider consultation with a pediatric or adult gynecologist to determine the most appropriate imaging study.

Follow-Up Tests & Special Considerations
Exploration of the vagina for a foreign body may be necessary in cases of persistent, recurrent vulvitis. ‚  
Diagnostic Procedures/Other
If blood or foul-smelling discharge is present, visualization is mandatory: ‚  
  • Place the child in the knee " “chest position for best results. Hold the buttocks apart and slightly upward.
  • Visualization of the vagina may be necessary by using a nasal speculum or infant laryngoscope.
  • If available, consider referral to a provider with specific training/experience in this specialized exam.

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 should be directed against the species with the highest colony count.
  • General hygiene should always be recommended, particularly in cases of a retained foreign body (e.g., toilet paper).
  • When no cause is identified, treatment should focus on hygiene as well as minimizing soap exposure and tight-fitting clothes (1).

GENERAL MEASURES


  • Appropriate health care: outpatient (except where systemic illness requires hospital care)
  • Soak the vulva/perineum in a small amount of clear, warm water for 15 minutes BID.
  • If smegma is present in the labial folds, clean the area gently with a mild soap.

MEDICATION


First Line
  • To break the itching " “scratching " “infection cycle, use a low-dose topical hydrocortisone cream for a limited time.
  • Estrogen deficiency with labial adhesion/agglutination: estrogen cream 0.625 mg to fused area nightly for 2 weeks
  • Emollients or protective creams may offer symptomatic relief.
  • Antibiotic use should be restricted to cases of bacterial infection only (4)[A].
  • Specific organisms on culture
    • Group A Streptococcus, S. pneumoniae: penicillin V (Pen Vee K) 250 mg PO BID " “TID for 10 days
    • Haemophilus influenzae: amoxicillin, 20 to 40 mg/kg/day PO divided TID for 7 days
    • Staphylococcus aureus: cephalexin, 25 to 50 mg/kg/day PO divided QID for 7 to 10 days or dicloxacillin, 25 mg/kg/day divided QID for 7 to 10 days or amoxicillin-clavulanate, 20 to 40 mg/kg/day PO divided BID for 7 to 10 days
    • S. pyogenes: amoxicillin, 50 mg/kg/day PO divided into 3 doses/day for 10 days
    • Candida sp.: topical nystatin (Mycostatin), miconazole, clotrimazole, or terconazole
    • Shigella: trimethoprim/sulfamethoxazole or ampicillin for 5 days
    • Pinworms: mebendazole, 100 mg PO, repeated in 2 weeks
    • Chlamydia trachomatis: ≤45 kg: erythromycin, 50 mg/kg/day QID for 14 days; ≥45 kg and <8 years old: azithromycin, 1 g PO single dose; ≥45 kg and ≥8 years old: azithromycin, 1 g PO single dose or doxycycline 100 mg BID for 7 days
    • Neisseria gonorrhoeae: ≤45 kg: ceftriaxone, 125 mg IM plus medication for chlamydia; >45 kg: ceftriaxone, 250 mg IM ƒ — 1 plus medication for chlamydia
    • Trichomonas: metronidazole, 15 mg/kg/day PO divided TID (max 250 mg TID) for 7 days
  • Contraindications: allergy to proposed treatment
  • Precautions: Avoid potential allergens and topical sensitizers if possible.

ISSUES FOR REFERRAL


  • Suspected sexual abuse
  • Suspected anatomic abnormality (except minor labial agglutination)
  • Persistent, severe, or recurrent infections

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


Hygiene ‚  
  • Wipe front to back after elimination.
  • Avoid bubble baths and other irritating products.
  • Clean daily with mild soap and water and dry gently with soft towel or cool hair dryer.
  • Apply bland ointments for skin protection, if necessary.

PROGNOSIS


Excellent ‚  

COMPLICATIONS


  • If an STI is identified and not treated effectively, the patient is at risk for pelvic inflammatory disease (PID).
  • Vaginismus

REFERENCES


11 Gorbachinsky ‚  I, Sherertz ‚  R, Russell ‚  G, et al. Altered perineal microbiome is associated with vulvovaginitis and urinary tract infection in preadolescent girls. Ther Adv Urol.  2014;6(6):224 " “249.22 Stricker ‚  T, Navratil ‚  F, Sennhauser ‚  FH. Vulvovaginitis in prepubertal girls. Arch Dis Child.  2003;88(4):324 " “326.33 Van Eyk ‚  N, Allen ‚  L, Giesbrecht ‚  E, et al. Pediatric vulvovaginal disorders: a diagnostic approach and review of the literature. J Obstet Gynaecol Can.  2009;31(9):850 " “862.44 Dei ‚  M, Di Maggio ‚  F, Di Paolo ‚  G, et al. Vulvovaginitis in childhood. Best Pract Res Clin Obstet Gynaecol.  2010;24(2):129 " “137.

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;25(1):67 " “73.
  • 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 agglutination in a prepubertal girl: effect of topical oestrogen. Acta Derm Venereol.  2009;89(2):198 " “199.

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 classified elsewhere

SNOMED


  • 53277000 Vulvovaginitis (disorder)
  • 237093007 Prepubertal vaginitis (disorder)
  • 237094001 Streptococcal vulvovaginitis (disorder)
  • 198212006 vaginitis and vulvovaginitis (disorder)
  • 419760006 Bacterial vaginosis (disorder)

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 infection.
  • Treatment is typically supportive (avoid scratching, warm soaks) but may require antibiotics if a bacterial infection is suspected.
  • Isolating an infection with known sexual transmission should prompt further investigation.
  • Recurrent or persistent vulvitis, especially with foul-smelling discharge, should prompt a skilled exam of the vagina for a retained foreign body.
  • Good perineal hygiene will limit this condition.
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