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儿童外阴阴道炎病原体分析

Pathogen Profiles in Pediatric Vulvovaginitis

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【作者】 周志红刘丽戚仁斌程静李秀珍公亮林文春

【Author】 ZHOU Zhi-hong1, LIU Li1, QI Ren-bin2, CHENG Jing1, LI Xiu-zhen1, GONG Liang1, LIN Wen-chun1 (1Department of Endocrinology, Guangzhou Children’s Hospital, Guangzhou 510120; 2 Department of Pathophysiology, Jinan University Medical College ,Guangzhou 510632,China)

【机构】 广州市儿童医院内分泌科暨南大学医学院病理生理教研室

【摘要】 目的:探讨儿童外阴阴道炎病原微生物的分布特点,从而制定正确的治疗方案。方法:对234例本院门诊确诊为外阴阴道炎的儿童进行连续3d的阴道分泌物培养及药敏试验。结果:234例病例中共找出细菌感染151例(占64.5%),解脲支原体11例(占4.7%),真菌感染10例(占4.3%),同时感染两种细菌12例(占5.1%),混合感染(除感染细菌外,同时感染支原体或真菌)11例(占4.7%)。常见的细菌感染有流感嗜血杆菌、大肠埃希菌、金黄色葡萄球菌、奇异变形杆菌、凝固酶阴性葡萄球菌。结论:细菌感染仍是引起儿童外阴阴道炎最常见的病原体,流感嗜血杆菌感染的增加应引起重视。

【Abstract】 Objective: To explore the distribution of pathogenic microorganisms in children with vulvovaginitis and to provide evidence for proper treatment options. Methods: Serial culture and drug susceptibility test of vaginal secretion for 3 days were performed in 234 children with vulvovaginitis identified at office visits in our hospital. Results: Among the 234 cases, 151 cases (64.5%) tested positive of pathogens, including 11 cases (4.7%) with ureaplasma urealytium, 10 cases (4.3%) with fungi, 12 cases (5.1%) with dual bacterial infection, and 11 cases (4.7%) with co-infection (bacteria plus ureaplasma urealytium or fungi). The common pathogens of bacterial infections involved Haemophilus influenzae, Escherichia coli, Staphylococcus aureus, Proteus mirabilis, and coagulase-negative Staphylococci. Conclusion: Bacterial infection remains the common pathogen in pediatric vulvovaginitis. Increase in infections with Haemophilus influenzae should raise concerns.

【关键词】 儿童外阴炎病原体
【Key words】 childrenvulvitispathogens
  • 【文献出处】 广州医学院学报 ,Academic Journal of Guangzhou Medical College , 编辑部邮箱 ,2008年02期
  • 【分类号】R711.3
  • 【被引频次】2
  • 【下载频次】90
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