Features of comorbid symptoms in vulvovaginitis in girls with urinary tract infections
https://doi.org/10.36485/1561-6274-2021-25-1-90-95
Abstract
Background. Urinary tract infections are the most common nephrological diseases in girls. Currently, there is a need to develop comprehensive interdisciplinary approaches to the examination of patients with vulvovaginitis against the background of pre-school urinary tract infection.
The aim: to study the characteristics of comorbid symptoms of vulvovaginitis in girls of pre-school age suffering from urinary tract infections. PATIENTS AND METHODS. A prospective controlled study was conducted in 107 girls aged 3-6 years, including: group 1 (n=45) - patients with vulvovaginitis against a background of recurrent urinary tract infection; group 2 (n=32) - patients with an isolated form of vulvovaginitis; group 3(n=30) - girls of 1, 2 health groups. A specialized gynecological examination was performed. Statistical processing was performed using the application program "SPSS Statistics 17.0 for Windows".
Results. Revealed that patients with concomitant vulvovaginitis compared to patients with isolated vulvovaginitis, often marked by painful urination, discomfort in the genital area, serous (35.7 %) and mucopurulent (55,6 %) vaginal discharge, petechial rash, anatomical (prolapse of the urethra, close proximity of the meatus to the entrance of the vagina) and inflammatory changes (edema, hyperemia) in the region of the urethra, high frequency fringed structure of the hymen (p=0,12). Diffuse hyperemia in the vulva area was more often observed in patients with isolated vulvovaginitis.
Conclusions. Patients with vulvovaginitis and recurrent recurrent urinary tract infection have a burdened social and biological history. In dispensary management, an interdisciplinary approach is required, taking into account the identified medical and social risk factors.
About the Authors
Z. A. Kostoeva
Ingush State University
Russian Federation
Russian Federation
Zareta A. Kostoyeva - MD, PhD, department of obstetrics and gynecology, candidate of medical Sciences, doctoral student of the Rostov SMU.
366700, Republic of Ingushetia, Magas, prospect I. B. Zyazikova, 7, Phone: 8(928)0965606
Yu. Yu. Chebotareva
Rostov State Medical University
Russian Federation
Russian Federation
Yulia Yu. Chebotareva - MD, PhD, DMedSci, the department of obstetrics and gynecology, associate Professor.
344022, Rostov-on-Don, the lane Nakhichevan, 29, Phone: 8(928)1006055
G. M. Letifov
Rostov State Medical University
Russian Federation
Russian Federation
Prof. Gadzhi M. Letifov - MD, PhD, DMedSci, Department of Pediatrics and Neonatology, Head of Department.
344022, Rostov-on-Don, 29 Nakhichevan Lane, Phone: 8(909)4381113
T. B. Imieva
Ingush State University
Russian Federation
Russian Federation
Tamara B. Imieva - MD, PhD, department of obstetrics and gynecology.
366700, Republic of Ingushetia, Magas, prospect I. B. Zyazikova, 7Phone: 8(928)0901333
L. N. Bogatyreva
Ingush State University
Russian Federation
Russian Federation
Lidiya N. Bogatyryova - MD, PhD, department of obstetrics and gynecology
366700, Republic of Ingushetia, Magas, prospect I. B. Zyazikova, 7, Phone: 8(928)6681214
References
1. Letifov GM, Boyko NV, Letifova NG. Psychosomatic comorbid conditions in enuresis in children. Russian Bulletin of Perinatology and Pediatrics 2020;65(1):30-36. (In Russ.) doi: 10.21508/10274065-2020-65-1-30-36
2. Garden AS. Vulvovaginitis and other common childhood gynaecological conditions. Arch Dis Child Educ Pract Ed 2011; 96(2):73
3. Cemek F, Odabas D, Senel U. Personal Hygiene and Vulvovaginitis in Prepubertal Children. Journal of pediatric and adolescent gynecology 2016; 29(3):223-227
4. Chebotareva YuYu, Letyfov GM, Kostoyeva ZA. Some aspects of vulvovaginitis chronization in girls with urinary tract infections. Nephrology (Saint-Petersburg) 2018;22(5):71-76. (In Russ.) doi: 10.24884/1561-6274-2018-22-5-71-76
5. Chebotareva Yu, Kostoeva ZA, Letifov GM. An interdisciplinary approach to solving the problem of bacterial vulvovaginitis in girls with urinary tract infections. Medical Council 2018;13:124-129. (In Russ.) doi: 10.21518/2079-701X-2018-13-124-129
6. Chebotareva YuYu, Letifov GM, Karapetyan-Mitsenko AG, Kostoeva ZA. Features of hormonal status and adaptive reactions in vulvovaginitis in preschool girls with various diseases of the urinary system. Bulletin of the Dagestan State Medical Academy 2016;18(1):56-61. (In Russ.)
7. Gurkin YuA, Ruhljada NN. The gynecology of childhood and adolescence. A guide for physicians. Medical news Agency, M., 2018; 987. (In Russ.)
8. Letifov GM, Chebotareva, YuYu, Kostoyeva ZA. Features of complex treatment of candidiasis in girls doshkolnitsa with various forms of pyelonephritis. Nephrology (Saint-Petersburg) 2017;21(5):59-64. (In Russ.)
9. Chebotareva YuYu, Karapetyan-Mitsenko AG. The state of the reproductive system and autonomic regulation in chronic pyelonephritis in preschool girls. Kuban Scientific Medical Bulletin 2012;1(130):181-184. (In Russ.)
10. Loveless MO, Myint O. Vulvovaginitis-presentation of more common problems in pediatric and adolescent gynecology. BEST PRACTICE & RE. SEARCH CLINICAL OBSTETRICS & GYNAECOLOGY 2018;48;14-27
11. Silenko OH, Savenkova ND, Kutusheva GF. Gynecological pathology in girls with an infection of the urinary system. Pediatrics 2011;2(4):7-11. (In Russ.)
12. Bitsori M, Galanakis E. Pediatric urinary tract infections: diagnosis and treatment. Expect Reviev of anti- infective therapy 2012;10(10):1153-1164
13. Batyrova WK, Uvarova EV, Namazova-Baranova LS, Donnikov AE. Clinical and anamnestic features of the fusion of the labia minora against the background of allergic vulvitis. Reproductive health of children and adolescents 2016;68(3):59-68. (In Russ.)
14. Laufer MR. Structural abnormalities of the female reproductive tract. In: Pediatric and adolescent gynecology, 6th ed, Emans SJ, Laufer MR, Goldstein DP (Eds), Lippincott Williams & Wilkins, Philadelphia, 2012; 1234
Review
For citations:
Kostoeva Z.A., Chebotareva Yu.Yu., Letifov G.M., Imieva T.B., Bogatyreva L.N. Features of comorbid symptoms in vulvovaginitis in girls with urinary tract infections. Nephrology (Saint-Petersburg). 2021;25(1):90-95. (In Russ.) https://doi.org/10.36485/1561-6274-2021-25-1-90-95
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