Features of comorbid symptoms in vulvovaginitis in girls with urinary tract infections

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.