Infant vulvitis
Introduction
Introduction to infantile vulvitis Female infants have undeveloped labia minora, subcutaneous fat is thin, and the vagina and urethra are exposed to the outside, so they are easily invaded by bacteria, causing vulvitis in infants and young children. Young girls suffer from vaginitis and vulvitis. The young girls have poor vulva development, lack of estrogen, and low vaginal epithelial resistance is susceptible to infection. Infants and young children ovarian function is not perfect, lack of estrogen; poor vulva development, vaginal mucosa filthy infant vulvovaginitis, vaginal epithelial resistance is low; vagina close to the anus is very susceptible to bacterial infection and prone to vulvovaginitis. Common in young girls under 5 years old. Pathogens can be transmitted through clothing, baths, hands, etc. of sick mothers, childcare workers, or kindergarten children. basic knowledge The proportion of illness: 0.001% Susceptible people: children Mode of infection: non-infectious Complications: edema
Cause
Infant vulvitis cause
Within 15 days of birth, vaginal mucus is significantly acidic, with a pH of about 5.5. After that, the pH rises and is neutral or alkaline. The baby is kept sterile during birth, and the newborn is within a few days before delivery. Affected by the high estrogen of the mother, the vaginal epithelium is similar to the adult level, and the glycogen is abundant. The vaginal pH is 4.2 to 4.5. After 3 days, the cell population is composed entirely of vaginal bacteria. In about 15 days, vaginal vaginal and vaginal epithelium maintain low hormone. Level to adolescence.
Infants and young children wear open pants, if they do not pay attention to hygiene, it is easy to pollute. If the baby diaper is not replaced in time, the stool will be stimulated, which can cause skin infection, acute infectious disease, reduced body resistance, partial uncleanness, easy infection, and a small number of children. Vulvitis is caused by vaginal foreign body. The stool rubs the anus improperly, so that the stool contaminates the vulva. The vulva is over scrubbed with soapy water or other detergents. The underwear is too tight or wears nylon, and man-made fiber underwear can cause disease and disease. Most of the bacteria are pyogenic bacteria such as Staphylococcus, Streptococcus, and Escherichia coli.
Prevention
Infant vulvitis prevention
Parents and nurses should pay attention to the cleansing of infants and vulva, and carry out related propaganda. The infants and young children should apply secrets and teach the children to rub the anus from front to back after each bowel movement to avoid fecal contamination of the vulva. The underwear is made of cotton. It is appropriate.
Complication
Complications of infantile vulvitis Complications edema
Some children suffer from local itching due to itching, and there are some symptoms such as dysuria, frequent urination, and burning sensation.
Symptom
Infants and young children vulvitis symptoms Common symptoms Increased vaginal secretions Infants and young children vulvar pain vulva burning irritations urinating vulva burning... Vulvar swelling
Vulvar pain, itching, and increased secretions.
Vulva, clitoris, urethral opening and vaginal mucosa congestion, edema, and purulent secretions, often have purulent dryness on the underwear, or traces of watery, vulvar redness, edema, and even skin exfoliation, local Caused by local scratches, bleeding and other phenomena, the labia minora adhesion, urine flow becomes thinner, the examination can be found that the place where the labia minora adheres is thinner and more translucent.
Large children can talk about vulvar pain, itching, and increased secretions. Infants and young children often cry because of local pain.
Vulva, clitoris, urethral opening and vaginal mucosa congestion, edema, and purulent secretions, parents can notice that there are often purulent dryness on the underwear of infants, or traces of watery, vulva red, Edema, even skin exfoliation, some children due to itching and local scratches, bleeding, etc. Some have urinary pain, frequent urination, burning sensation, but also in this acute period was neglected by parents, or because of symptoms Light and until the acute phase caused the adhesion of the labia minora, the urine flow became thin, only to be found, mistaken for the genital malformation came to see the doctor, found on both sides of the labia minora adhesion, leaving a small hole of urine above or below from here Excretion, the urethral opening and the vaginal opening are covered. Careful examination reveals that the place where the labia minora adheres is thinner and more translucent.
Examine
Examination of infantile vulvitis
Physical examination: During the examination, it was found that the labia minora adhered to both sides, leaving small holes of urine above or below, from which the urethral opening and the vaginal opening were covered. Careful examination revealed that the place where the labia minora adhered was thinner and more translucent.
Diagnosis
Diagnostic diagnosis of infantile vulvitis
Infant vaginitis, the main symptoms are vulvovaginal itch, increased vaginal secretions, infants and young children can not correctly tell the symptoms, often use fingers to scratch the vulva, through the fingers and scratches, further spread the infection, vulva, urethra , vaginal mucosa congestion, edema, purulent secretions.
