VULVAR INFECTION CAUSED BY HUMAN PAPILLOMA-VIRUS IN CHILDREN AND ADOLESCENTS WITHOUT SEXUAL CONTACT

被引：11

作者：

PACHECO, BP ^{[1
]}

DIPAOLA, G ^{[1
]}

RIBAS, JMM ^{[1
]}

VIGHI, S ^{[1
]}

RUEDA, NG ^{[1
]}

机构：

[1] UNIV BUENOS AIRES,COLL MED,CHAIR GYNECOL 1,BUENOS AIRES,ARGENTINA

来源：

ADOLESCENT AND PEDIATRIC GYNECOLOGY | 1991年 / 4卷 / 03期

关键词：

HUMAN PAPILLOMAVIRUS; MODES OF TRANSMISSION; NONSEXUAL TRANSMISSION;

D O I：

10.1016/S0932-8610(19)80019-1

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We studied the indirect transmission of human papilloma virus (HPV) to young children and adolescents who were proven, by in-depth sexual history and gynecological examination, never to have had sexual intercourse. Two groups were identified: group A, daughters and sisters (age less than 18 years) of 31 adults with HPV genital lesions (n = 40); group B, 10 virginal girls and adolescents with HPV vulvar lesions and the adult household members were studied for the HPV infection (n = 26). Evaluations included PAP smear, colposcopy, vaginoscopy, and vulvoscopy in the adult female; peneoscopy and biopsy in males; vulvoscopy and cytologic studies (labia minora, vaginal washing) in all minors. A biopsy was obtained from all lesions. Vulvoscopic findings consistent with HPV were found in 75% of the group A girls. In 83% of those, the biopsy was positive. In group 2, 90% were found to live in a household with at least one positive adult (previously undetected). One or more of the following practices were discovered in the majority of cases: occasional bed sharing, and joint use of towels, bathing suits, underwear, and tub bath. Postdefecation hygiene was carried out in the family bidet. This supports the hypothesis that HPV can be nonsexually transmitted.

引用

页码：136 / 142

页数：7