Vulvovaginitis and vaginal discharge in the pediatric patient.

摘要

Vulvovaginitis is the most common pediatric gynecologic condition seen in the emergency department. Vagi-nitis is erythema and inflammation of the vaginal mucosa, usually with a vaginal discharge. Vulvitis is local irritation related to poor hygiene, chemical irritation, mechanical irritation, topical allergy, or trauma. In premenarchal girls, 68% of nonspecific vaginitis cases are associated with coli-form bacteria. It causes a brown to green discharge and may have a foul odor. The mainstay of therapy is improved perineal hygiene using nonirritating soaps and drying the area meticulously after bathing.2 No antibiotic therapy is necessary.