MICROBIOLOGICAL AND CLINICAL ASPECTS OF VULVOVAGINITIS IN PREPUBERTAL GIRLS

Vulvovaginitis is one of the most common pathologies encountered in the practice of a pediatric gynecologist. The aim of the study was to determine the clinical and microbiological aspects of vulvovaginitis in prepubertal girls. The study included 24 girls with vulvovaginitis and 20 healthy prepubertal girls. The most common symptoms of vulvovaginitis were vaginal discharge - 87.5%, redness of the vulva - 83.3%, itching - 75%, burning - 66.6%, soreness - 62.5%; a combination of 2 or more symptoms was detected in 58.3% of patients. The vaginal microbiocenosis in prepubertal girls with vulvovaginitis was less diverse than in healthy girls. In the group of girls with vulvovaginitis, a higher content of Streptococcus spp., Enterobacterium spp., Staphylococcus spp., Sneathia spp. / Leptotrihia spp. / Fusobacterium spp., Mobiluncus spp. / Corynebacterium spp., and lower levels of Peptostreptococcus spp., Lactobacillus spp., Prevotella bivia / Porphyromonas spp., Megasphaera spp. / Veillonella spp. / Dialister spp. and Lachnobacterium spp. / Clostridium spp were noted.