Avaliação Clínica e Laboratorial de Crianças e Adolescentes com Queixas Vulvovaginais

Abstract

Purpose: to assess the commonest vulvovaginal complaints and vaginal discharge etiology in the Child and Teenager Gynecologic Outpatient Clinic of the University Hospital of Brasilia (AGIP/HUB). Methods: we evaluated retrospectively 210 charts of patients, younger than 19 years old, who attended AGIP/HUB with vulvovaginal complaints. Results: the average age of the 210 patients was 12 ± 2.3 years, and the vaginal discharge and vulvar pruritus were the commonest complaints. Unspecific inflammatory conditions were observed in 147 (70%) of these patients and their treatment consisted of appropriate clothing, daily activities and hygienic orientation. Antibiotic treatment was necessary in 63 patients, where specific etiologic agents were found. Gardnerella, Trichomonas, HPV and syphilis were observed only in sexually active patients. They had had their first sexual intercourse when they were 14.1 ± 1.6 years old. Twenty patients also presented vulvar complaints that were easy to handle. Conclusion: Hygiene, clothing and adequate orientation for these patients and their families are fundamental to treat vulvovaginitis, almost always avoiding the use of antibiotics.