儿童外阴阴道炎病原体分析  

Pathogen Profiles in Pediatric Vulvovaginitis

作　　者：周志红[1] 刘丽[1] 戚仁斌[2] 程静[1] 李秀珍[1] 公亮[1] 林文春[1] 

机构地区：[1]广州市儿童医院内分泌科,广东广州510120 [2]暨南大学医学院病理生理教研室,广东广州510632

出　　处：《广州医学院学报》2008年第2期54-57,共4页Academic Journal of Guangzhou Medical College

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。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, 15l 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 eoagulase- 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 

分 类 号：R725.8[医药卫生—儿科]