4 research outputs found
Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity Infecciones de transmisi贸n sexual asociadas a s铆ntomas vulvovaginales en adolescentes que niegan vida sexual activa
OBJECTIVE: To identify clinical, laboratory and ultrasonographic evidence of a probable sexually transmitted infection associated with vulvovaginal symptoms in adolescents denying sexual activity. MATERIAL AND METHODS: The medical records of female adolescents, aged 10-18 years were reviewed. These women received first-time medical care for vulvovaginitis, between 1995 and 1999 at Hospital Infantil de M茅xico Federico G贸mez, (Children's Hospital). Comparisons between groups were performed, as appropriate, by the unpaired Student's t-test, the Z test or the chi-square test; statistically significant differences were set at a two-tailed p<0.05. Odds ratios with 95% confidence intervals were calculated. RESULTS: Of 258 adolescents with vulvovaginitis, 53 (20.5%) had a sexually transmitted microorganism and 52 of them denied ever having sexual activity. Age, education and socioeconomic level, development of sexual characters, and presence of menstruation did not differ between patients with and without sexually transmitted infections. The presence of sexually transmitted infections was associated with lower abdominal pain, abnormally colored vaginal discharge, a positive urine culture, and an abdominal ultrasonographic evidence, compatible with pelvic inflammatory disease (ultrasonographic odds ratio 144.8; 95% CI 51.0 to 411.3). CONCLUSIONS: There is an association between sexually transmitted infections in young women with vulvovaginitis and lower abdominal pain, abnormally colored vaginal discharge, a positive urine culture, and an abdominal ultrasonographic evidence compatible with pelvic inflammatory disease.<br>OBJETIVO: Identificar datos cl铆nicos, de laboratorio y ultrasonogr谩ficos que permitan el diagn贸stico de una infecci贸n de transmisi贸n sexual asociada a s铆ntomas vulvovaginales en las pacientes adolescentes que niegan vida sexual activa. MATERIAL Y M脡TODOS: Se revisaron los expedientes de las adolescentes de 10 a 18 a帽os de edad que requirieron atenci贸n m茅dica de primera vez por vulvovaginitis entre 1995 y 1999 en el Hospital Infantil de M茅xico Federico G贸mez. Las comparaciones entre grupos se llevaron a cabo con la prueba t de Student, la prueba de Z, o la de ji-cuadrada. Se utiliz贸 un valor de p<0.05 para establecer diferencias estad铆sticamente significativas. Se calcularon razones de momios con intervalos de confianza de 95%. RESULTADOS: De 258 adolescentes, en 53 (20.5%) se identific贸 un microrganismo de transmisi贸n sexual y 52 de ellas negaron tener vida sexual activa. No hubo diferencias estad铆sticas entre los dos grupos de adolescentes en cuanto a la edad, los a帽os de estudio, el nivel socioecon贸mico, la maduraci贸n sexual y la presencia de menarquia. El dolor abdominal en los cuadrantes inferiores, la coloraci贸n anormal de la secreci贸n vaginal, un cultivo urinario positivo y un estudio ultrasonogr谩fico abdominal compatible con enfermedad p茅lvica inflamatoria estuvieron asociados con infecci贸n de transmisi贸n sexual. Con el estudio ultrasonogr谩fico se obtuvo una raz贸n de momios de 144.8 (intervalo de confianza 95% 51.0 a 411.3). CONCLUSIONES: Se demostr贸 una asociaci贸n entre infecci贸n de transmisi贸n sexual en adolescentes con vulvovaginitis y dolor abdominal bajo, secreci贸n vaginal anormal, urocultivo positivo y un estudio ultrasonogr谩fico compatible con enfermedad p茅lvica inflamatoria