Allergic vulvovaginitis: a systematic literature review

Oliveira, Ana Sofia; Rolo, Joana; Gaspar, Carlos; Palmeira‐de‐Oliveira, Rita; Martinez-de-Oliveira, José; Oliveira, Ana Palmeira de

doi:10.1007/s00404-021-06332-z

Cited by 2 publications

(2 citation statements)

References 69 publications

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“…The three most frequently observed agents in the diagnosis of vaginitis are Candida spp., (CC), bacterial vaginosis (BV), and Trichomonas (TCH). However, the agent involved in vaginitis remains undiagnosed in between 7% and 72% of patients, and these soon re-present to clinics with the same symptoms (2)(3)(4)(5). Appropriate treatment directed toward the agent should therefore be prioritized in terms of diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Agents Isolated from Vaginal Cultures in the Reproductive Period and Their Antibiotic Sensitivities (Vaginal Culture and Antibiotic Sensitivitie)

Dinç

Akyüz

2023

Eur J Ther

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Introduction: In our study, we aimed to examine the strains isolated from vaginal swab samples sent to our laboratory from various clinics with a pre-diagnosis of vulvovaginitis and antibiotic resistance rates, retrospectively. Methods: ethods: 90 vaginal swab samples of patientswere included into this study. Two samples were taken from each patient and one sample was used for Gram staining. The other sample was inoculated in 5% sheep blood, Eozine Methylene Blue agar and Saboraud dextrose agar. TIdentification of isolated colonies and antibiotic susceptibility studies were carried out with Vitek 2 Compact automated system. Result of the susceptibility testing are reported according to EUCAST criteria. Nugent scoring was used for bacterial vaginosis. Results: Normal vaginal flora elements were found in 66 (73.3 %) of the specimens, and 28 organisms were found in 24 (26.7 %). The distribution of the organisms is as follows: 6 (21.4%) Escherichia coli, 5(17.9%) Streptococcus agalactiae, 5 (17.9%) Gardnerella vaginalis, 3 (10.7%) Candida spp., 3(10.7%) Klebsiella pneumoniae, 3(10.7%) Enterococcus faecalis. Two of the E.coli strains and one of the K.pneumoniae strains are ESBL positive. Of the agents, 21 were isolated from outpatients and 7 from inpatients. All S. agalactiae strains were susceptible to penicillin and ampicillin. E.coli and K.pneumoniae strains, which are the most frequently isolated Gram (-) organisms, are most susceptible to amikacin, carbapenems and tigecycline. Conclusion: In patients with vaginal discharge and itching complaints, determining the organisms with microbiological culture and oriented treatment instead of empirical treatment will be more beneficial for cure.

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Section: Introductionmentioning

confidence: 99%

Agents Isolated from Vaginal Cultures in the Reproductive Period and Their Antibiotic Sensitivities (Vaginal Culture and Antibiotic Sensitivitie)

Dinç

Akyüz

2023

Eur J Ther

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“…Severe cases of vaginitis can lead to infertility in women, with serious consequences. Due to the lack of effective treatment for this disease, experts emphasize the prevention of infection through regular hand washing, attention to perineal hygiene, and the maintenance of healthy habits (3)(4)(5). There is the evidence that the incidence of recurrence is higher if the hygiene recommendations are not followed (6).…”

Section: Introductionmentioning

confidence: 99%

The risk factors for negative emotions in parents of children with bacterian vulvovaginitis and its impact on prognosis: a retrospective cohort study

Xie¹,

He²

2023

Transl Pediatr

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Background: Vulvovaginitis is one of the most common pediatric gynecological diseases and easily causes the negative emotions for the parents. However, there are few studies on the influence of parental anxiety and depression on children's disease and prognosis. This study aimed to analyze the risk factors of negative parental emotions and their effects on the prognosis of children, in order to improve life quality of children. Methods:We retrospectively analyzed 303 pediatric patients who developed bacterian vulvovaginitis from April 2017 to April 2022 based on our inclusion and exclusion criteria. The Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to assess the negative emotions and binary logistic regression was used to analyze the independent risk factors for negative emotions among the parents of children with vulvovaginitis. The relationship between the prognosis of children and parents' negative emotions was analyzed by independent sample t-test, and the relationship between the recovery rate of children within 2 weeks, clearance rate of urine, and parents' negative emotions was analyzed by chi-square test.Results: In our study, 44.6% of the parents showed anxiety and 35.0% showed depression. The binary logistics regression of the clinical characteristics of the children showed that vulvar pruritus [odds ratio (OR) =1.664, P=0.048], increased vaginal secretions (OR =2.289, P=0.001), vulvar ulcerations (OR =1.831, P=0.024), and so on were independent influences on the anxiety of the parents, whereas vulvar pruritus (OR =2.722, P=0.000), increased vaginal secretions (OR =1.758, P=0.041), dysuria, frequent urination (OR =1.761, P=0.040), and so on were independent influences on depression among the parents. Besides, it was found that parental negative emotions significantly prolonged the improvement of the child's prognosis.Conclusions: Parents of children with vulvovaginitis are highly susceptible to have negative emotions due to the various clinical features of the child. The negative emotions of the parents significantly prolong the recovery time of the child. In clinical practice, adequate communication should be established with the parents of patients, and detailed education should be carried out to reduce the psychological burden of patients' parents, so as to improve the prognosis of children.

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Allergic vulvovaginitis: a systematic literature review

Cited by 2 publications

References 69 publications

Agents Isolated from Vaginal Cultures in the Reproductive Period and Their Antibiotic Sensitivities (Vaginal Culture and Antibiotic Sensitivitie)

Agents Isolated from Vaginal Cultures in the Reproductive Period and Their Antibiotic Sensitivities (Vaginal Culture and Antibiotic Sensitivitie)

The risk factors for negative emotions in parents of children with bacterian vulvovaginitis and its impact on prognosis: a retrospective cohort study

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