Gardnerella vaginalis in Prepubertal Girls

Bartley, Douglas L.

doi:10.1001/archpedi.1987.04460090091036

Cited by 19 publications

(14 citation statements)

References 23 publications

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“…Some studies have compared the flora in girls with vulvovaginitis with those of a control group without addressing the possibility of sexual abuse 311 Other investigators have used control groups that did not exclude girls with a history of abuse4 12; one study screened only for current sexual activity5; other studies had no control groups6 7; and in one study, three controls were reallocated to the abused group 13. In adults, some organisms have been shown to be associated with sexual activity, including mycoplasmas and organisms associated with bacterial vaginosis 10.…”

mentioning

confidence: 99%

Sexually transmitted organisms in sexually abused children

Robinson

Watkeys

Ridgway

1998

Archives of Disease in Childhood

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Conclusions-There is a low prevalence of definitely sexually transmitted organisms in children who might have been abused. Other organisms possibly associated with sexual activity can be identified in this population. Screening for infection should be mandatory in presumed sexually abused girls with vaginal discharge and ideally should be undertaken in all children attending for evaluation of sexual abuse. (Arch Dis Child 1998;79:356-358)

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mentioning

confidence: 99%

Sexually transmitted organisms in sexually abused children

Robinson

Watkeys

Ridgway

1998

Archives of Disease in Childhood

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“…[7,15,17] Gardnerellas are seen in healthy women (their frequency fl uctuates from 47% to 68%) and girls aged from 2 months to 15 years without any clinical manifestations. Thus, Gardnerella vaginalis are considered as co-inhabitants of the vagina, though some experts feel that Gardnerella species can be pathogenic in some cases.…”

Section: Review Articlementioning

confidence: 99%

“…Thus, Gardnerella vaginalis are considered as co-inhabitants of the vagina, though some experts feel that Gardnerella species can be pathogenic in some cases. [7,[15][16][17] Leptothrix are gram-variable bacilli that can have the form of coccobacilli; they are facultative anaerobes growing in the vagina and do not grow on ordinary culture media. These bacteria are found in nature in streams of slowing running water polluted by various industries such as paper or milk factories.…”

Section: Review Articlementioning

confidence: 99%

Vaginal microbiocoenosis and cytology of prepubertal and adolescent girls: their role in health and disease

2010

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“…For example , Gard11erella vagi11alis is not exclusively sexually transmitted in young children (17); tl1us. its isolation may not be indicative of sexual abuse if no other findings of abuse are present.…”

Section: Epidemiologymentioning

confidence: 99%

Sexually Transmitted Diseases: A Significant Complication of Childhood Sexual Abuse

Lindsay

Embreé

1992

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Sexually transmitted diseases: A significant complication of childhood sexual abuse. Can J Infect Dis 1992;3(3):122-128. The acq ui sition of one or more sexually transmitted diseases (STD) is a significant complication of sexual assau lt of chi ldren . The risk of infection by pathogens varies from less than 1 to 50% depending on the nature of the assault, the organism studied and the background prevalence of STD in the general community. The correct diagnosis of STD in children depends upon optimal collection and appropriate laboratory testing of clinical specimens. Diagnosing STD will a llow for treatment and follow-up to ensure cure of these infections as well as to monitor for re-infection . It will also help confirm that sexual activity involving the child has occurred. This can be exi.remely important, particularly when there are minimal other physical findings of abuse or if the child has limited verbal skills and thus cannot provide a complete disclosure. All physicians who care for children should be knowledgeable about the methods of STD diagnosis and the cuITently recommended treatment regimens. Key Words: Se'CUal abuse. Sexually transmitted disease. STD diagnosis , STD prevalence. STD treatmentLes maladies transmises sexuellement: Une complication importante chez l'enfant victime de sevices sexuels RESUME: L"acquisilion d'une ou de plusieurs maladies transmises sexuellement (MTS) est une complication importante des sevices sexuels infliges aux enfants. Le 1-isque d'infection par Jes agents pathogenes incrimines varie de mains de 1 % a 50 % selon la nature des mauvais traitements, J'organisme etudie et la prevalence de MTS dans la collectivite en general. Le diagnostic correct de MTS pose chez l"enfant depend d'un interrogatoire minulieux et Jes prelevements doivent faire l"objet d'analyses de laboratoire appropriees. Tout en assurant la guerison par un traitement et un suivi aclaptes, ce diagnostic permet de rester attentif a toute reinfection eventuelle. Il contribue a ussi a confirmer toute activite sexuelle engageant l'enfant. Cette constatation peut s·averer ex1sem ement importante, s urtout quancl Jes autres preuves physiques cl'abus font defaut ou quand la capacite d'expression de l"enfant est lim itee , excluant une divulgation complete. Taus Jes medecins qui traitent Jes enfants clevraient connaitre les methodes de diagnostic des MTS et Jes traitements actuellement recommandes.

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Gardnerella vaginalis in Prepubertal Girls

Cited by 19 publications

References 23 publications

Sexually transmitted organisms in sexually abused children

Sexually transmitted organisms in sexually abused children

Vaginal microbiocoenosis and cytology of prepubertal and adolescent girls: their role in health and disease

Sexually Transmitted Diseases: A Significant Complication of Childhood Sexual Abuse

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