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目的研究引起幼女阴道感染的病原体种类及感染频率,为临床治疗提供参考。方法选取0.5～7岁阴道炎患儿137例,收集阴道分泌物,涂片观察检查念珠菌、滴虫、线索细胞;并进行培养后检查淋球菌、解脲支原体、人型支原体、衣原体;做普通细菌培养检查大肠埃希菌、金黄葡萄球菌、肺炎链球菌、流感杆菌、变形杆菌、绿脓杆菌等。根据病原体感染情况针对性治疗或对症治疗。结果病原体检出率为37.9%,其中以大肠埃希菌感染最多,占检出病原体的25.0%;其他依次为加德纳菌感染占17.3%,淋球菌感染占11.5%,金黄葡萄球菌感染占9.6%。其他病原体有少量检出。结论幼女阴道感染以非特异性感染为主,在病原体导致的感染中,以大肠埃希菌最多,其次为加德纳菌。根据发病原因针对性治疗是理想的治疗方案。
Objective To study the types and frequency of pathogens causing vaginal infections in young girls and provide reference for clinical treatment. Methods A total of 137 children with vaginitis of 0.5-7 years old were selected to collect vaginal secretions. Candida, trichomoniasis and ciliary cells were collected and examined by smear. Neisseria gonorrhoeae, Mycoplasma hominis, Mycoplasma hominis and Chlamydia were examined after culture. Common bacterial culture check Escherichia coli, Staphylococcus aureus, Streptococcus pneumoniae, influenza bacilli, Proteus, Pseudomonas aeruginosa and so on. According to the pathogen infection targeted treatment or symptomatic treatment. Results The detection rate of pathogens was 37.9%, of which Escherichia coli was the most common, accounted for 25.0% of the pathogens detected. The others were Gardnerella infection, Gonococcal infection accounted for 11.5%, Staphylococcus aureus 9.6%. A small number of other pathogens detected. Conclusions Young female vaginal infections are mainly nonspecific infections. Escherichia coli is the most common pathogen-causing infection, followed by Gardnerella. Targeted treatment according to the cause of the disease is the ideal treatment.