Prevalence of Sexually Transmitted Diseases among Prepubertal Girls Attending Bangrak Hospital, Bangkok

Abstract

This retrospective study describes the prevalence of sexually transmitted diseases (STD). 338 prepubertal girls (age rang 4 day - 12 years; 43.79% between 4-6 years) attending Ba Hospital during October 1987 to November 1993. Neisseria gonorrhoeae (GC) was four 15.38% (52/338), nonspecific genital infection (NSGI) 5.02% (17/338), Syphilis (condvlo lata) 0.30% (1/338), herpes simplex virus 0.59% (2/338) and Condyloma acuminata 0.30% 338). Among 14 grils with history of sexual abuse, GC was found in 21.42% 3/14), syn (Condyloma lata) 7.1% (1/14), herpes simplex virus 7.1% (1/14) and Chlamydial trachon 7.1% (1/14). Chief complain of vaginal discharge presented in 77.44% and valvovaginitis wasi most common clinical manifestration (53.55%). Relatively higher prevalence of Neisse, gonorrhoeae infection in these prepubertal girls comparing to the prevalence in adult females an males attending this hospital during the same peroid indicated that prepubertal girls present for evaluation of vaginal discharge may have STD and should be cultured for gonorrhoea wheatero not sexual abuse is suspected. Sexually transmitted diseases in children should have got me attention due to the possibility of sexual abuse. Culture for gonorrhea and Chlamydia trachomatis should be done in evaluating prepubertal girls in STD Clinics.