Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity
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| Natura: | Artículo científico |
| Lingua: | en |
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Instituto Nacional de Salud Pública
2003
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| _version_ | 1876422877576691712 |
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| author | Elizabeth Velarde |
| author_facet | Elizabeth Velarde |
| contents | Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity Elizabeth Velarde Elizabeth Estrada Luis Eraña Atlántida Raya E. Yadira Velázquez Alejandro A. Nava Salud Mexico bacterial vaginosis differential diagnosis pelvic inflammatory disease sexually transmitted diseases Objective. To identify clinical, laboratory and ultrasonographicevidence of a probable sexually transmitted infectionassociated with vulvovaginal symptoms in adolescentsdenying sexual activity. Material and Methods. The medicalrecords of female adolescents, aged 10-18 years werereviewed. These women received first-time medical care forvulvovaginitis, between 1995 and 1999 at Hospital Infantilde México Federico Gómez, (Childrens Hospital). Comparisonsbetween groups were performed, as appropriate, bythe unpaired Students t-test, the Z test or the chi-squaretest; statistically significant differences were set at a twotailedp<0.05. Odds ratios with 95% confidence intervalswere calculated. Results. Of 258 adolescents with vulvovaginitis,53 (20.5%) had a sexually transmitted microorganismand 52 of them denied ever having sexual activity.Age, education and socioeconomic level, development ofsexual characters, and presence of menstruation did notdiffer between patients with and without sexually transmittedinfections. The presence of sexually transmitted infectionswas associated with lower abdominal pain, abnormallycolored vaginal discharge, a positive urine culture, and anabdominal ultrasonographic evidence, compatible with pelvicinflammatory disease (ultrasonographic odds ratio 144.8;95% CI 51.0 to 411.3). Conclusions. There is an associationbetween sexually transmitted infections in young womenwith vulvovaginitis and lower abdominal pai abnormally colored vaginal discharge, a positive urine culture,and an abdominal ultrasonographic evidence compatiblewith pelvic inflammatory disease. The English version ofthis paper is available too at: http://www.insp.mx/salud/index.html 2003 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10609909 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.5 Vol.45 |
| format | Artículo científico |
| id | redalyc_10609909 |
| institution | Redalyc |
| language | en |
| publishDate | 2003 |
| publisher | Instituto Nacional de Salud Pública |
| spellingShingle | Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity Elizabeth Velarde Salud Mexico bacterial vaginosis differential diagnosis pelvic inflammatory disease sexually transmitted diseases Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity Elizabeth Velarde Elizabeth Estrada Luis Eraña Atlántida Raya E. Yadira Velázquez Alejandro A. Nava Salud Mexico bacterial vaginosis differential diagnosis pelvic inflammatory disease sexually transmitted diseases Objective. To identify clinical, laboratory and ultrasonographicevidence of a probable sexually transmitted infectionassociated with vulvovaginal symptoms in adolescentsdenying sexual activity. Material and Methods. The medicalrecords of female adolescents, aged 10-18 years werereviewed. These women received first-time medical care forvulvovaginitis, between 1995 and 1999 at Hospital Infantilde México Federico Gómez, (Childrens Hospital). Comparisonsbetween groups were performed, as appropriate, bythe unpaired Students t-test, the Z test or the chi-squaretest; statistically significant differences were set at a twotailedp<0.05. Odds ratios with 95% confidence intervalswere calculated. Results. Of 258 adolescents with vulvovaginitis,53 (20.5%) had a sexually transmitted microorganismand 52 of them denied ever having sexual activity.Age, education and socioeconomic level, development ofsexual characters, and presence of menstruation did notdiffer between patients with and without sexually transmittedinfections. The presence of sexually transmitted infectionswas associated with lower abdominal pain, abnormallycolored vaginal discharge, a positive urine culture, and anabdominal ultrasonographic evidence, compatible with pelvicinflammatory disease (ultrasonographic odds ratio 144.8;95% CI 51.0 to 411.3). Conclusions. There is an associationbetween sexually transmitted infections in young womenwith vulvovaginitis and lower abdominal pai abnormally colored vaginal discharge, a positive urine culture,and an abdominal ultrasonographic evidence compatiblewith pelvic inflammatory disease. The English version ofthis paper is available too at: http://www.insp.mx/salud/index.html 2003 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10609909 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.5 Vol.45 |
| title | Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity |
| topic | Salud Mexico bacterial vaginosis differential diagnosis pelvic inflammatory disease sexually transmitted diseases |
| url | https://www.redalyc.org/articulo.oa?id=10609909 |