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J Pediatr Adolesc Gynecol. 2014 Feb;27(1):10-3. doi: 10.1016/j.jpag.2013.07.006. Epub 2013 Nov 20.

Ureaplasmas and mycoplasmas in vaginal samples from prepubertal girls and the reasons for gynecological consultation.

Author information

1
Pediatric Gynecology Unit, Luis Calvo Mackenna Children's Hospital, Santiago, Chile. Electronic address: patiromerof@yahoo.com.
2
Pediatric Gynecology Unit, Luis Calvo Mackenna Children's Hospital, Santiago, Chile.
3
Institute of Biomedical Sciences, Universidad de Chile, Santiago, Chile.
4
Public Health Department, Pontificia Universidad Catolica, Santiago, Chile.
5
The PREVIF Foundation, Santiago, Chile.

Abstract

OBJECTIVES:

The aim of the study was to evaluate vaginal colonization with Ureaplasmaurealyticum (UU) and Mycoplasma hominis (MH) in prepubertal girls and reason for gynecological consultation.

PATIENTS AND METHODS:

All prepubertal girls sent for consultation for medical issues to a pediatric gynecology department. Vaginal swabs were obtained for culture and were seeded using specific media. Patients colonized with genital mycoplasmas (GMs) were evaluated by a psychologist to rule out sexual abuse (SA).

RESULTS:

A total of119 patients were included. The mean age was 5.9 y. Reasons for consultation were vulvovaginitis in 78 (66%), SA before study entry in 19 (16%), labial adhesion in 8 (7%), genital bleeding in 8 (7%), suspected sexual abuse in 3 (3%) and 1 patient was sent for consultation for labial adhesion but had a normal examination (1%), physical neglect in 1 (1%), and genital ulcers in 1 (1%). UU was isolated in 14 (12%) MH was isolated in 3 (3%). UU was isolated in 9 patents (47%) with SA before study entry. Five patients colonized with UU that had consulted for other reasons were evaluated by a pediatric psychologist; 4 disclosed SA. One patient colonized with UU did not disclose SA. Patients with GMs were more likely to disclose sexual abuse (UU P < .0001. MH P < .0065).

CONCLUSION:

GMs were isolated more in SA cases. Patients colonized with GMs and consulted for other issues than SA were more likely to disclose SA.

PMID:
24268557
DOI:
10.1016/j.jpag.2013.07.006
[Indexed for MEDLINE]

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