Gonorrhea in early childhood

Infection and for
Gonorrhea in early childhood sick mainly girls. Infection occurs mainly by transferring the infection from adults.
Infection of young children, especially girls, is, if they sleep in the same bed with infected with gonorrhea mothers or nannies, and through sponges, contaminated hands, etc.
Gonococcus, as mentioned above, is able to penetrate through the intact epithelial mucous membranes, with the most fertile soil for its development are single columnar epithelial mucous membranes and ductless glands. As skin and mucous membrane is coated with multi-layer flat epithelium, for gonococcus impenetrable; therefore, getting on the mucous membrane nagaragawa women, gonococcus usually does not cause inflammation. Meanwhile, tender squamous epithelium of the vulva and vagina in children and young women is, on the contrary, favorable environment for introduction of gonococci.
At hit of gonococci on the genitals girls disease occurs most often in the form of vulvovaginitis, i.e. the inflammatory process of the vulva, vestibule and vagina. During the inspection of the external genitalia found redness and swelling of tissues, purulent expiration of the vagina. Sometimes vulva with poor child care is covered with dried purulent secret in the form of crusts.
Because of the tenderness of the skin inflammatory reaction spreads often on the hips and inguinal folds. Usually quickly attached inflammation of the urethra due to its vicinity to the site of infection.
Not rarely joins inflammation of Bartholin glands. Flowing down purulent discharge, may lead to infection of the mucous membrane of the rectum. Often marked increase pain and inguinal lymph nodes.
Symptoms of candidiasis are not always distinct. In early childhood, the disease is shown crying of the child (especially during urination, loss of appetite and sleep. The temperature is usually subfebrile. The diagnosis is made on the basis of a finding of gonococci in the emissions.
Usually the process is limited to the lower division sexual apparatus, rising gonorrhea develops relatively seldom.
Treatment
Sick child should be isolated from other children. Desirable treatment in the hospital. In subacute and chronic stages of treatment can be carried out on an outpatient basis. Penicillin - and sulfanilamidami shown in all stages of the disease. Penicillin is used in the same dose as adults.
Sulfa drugs (sulfidina, sulfanol, norsulfazol, sulfadiazine) are assigned depending on the age and General condition of the child. Children up to 3 years immunotherapy is not recommended. Local healing begins when after treatment with penicillin cure has not come.
The criterion of cure are normal clinical picture and negative results of repeated laboratory tests taken for gonorrhea after provocation. The child may be admitted to a children's team only after he is found recovered.
Treatment of pediatric gonorrhoea can be carried out only by a doctor as inept and incorrect treatment leads to serious and sometimes irreparable consequences.
Prevention
Prevention of infection of children with gonorrhea should be carried out by various events.
The mother should carefully to ensure that gonorrheal highlight these or those ways were not placed on the sexual organs of a child that may occur in the use of health products (sponge, towel, soap, vessels)used by persons suffering from gonorrhea, and by communicating with patients with gonorrhea persons caring for a child.
This should force the mother to take care that the child is not in contact with outsiders. Of course, you can't use someone else's soap, towel, watercraft, sponge etc., it is Very important that the child will sleep in a separate bed, and in any case not slept with adults. If the mother herself sick gonorrhea, much more needs to observe cleanliness in the care of the child.
Prevention of diseases gonorrhoea in institutions Shall be conducted through regular examinations of children and staff with immediate isolation of the patients. Need to carefully monitor the cleanliness of toilets and bathrooms.