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Obstetric and Gynecological Nursing - The Carter Center

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In those persons with recurrent lesions, the skin should be<br />

cleansed with an antiseptic on a regular basis. In addition, the<br />

skin surrounding the area where the lesions are recurring<br />

should be treated with repeated applications of a topical<br />

antibiotic agent. A specimen should be obtained for isolation<br />

<strong>and</strong> identification of the offending organism.<br />

Vulvovestibulitis<br />

Focal vulvitis, which often attacks the duct opening of the<br />

bartholin gl<strong>and</strong> is characterized by persistent volvovaginitis<br />

<strong>and</strong> burning or discomfort, often associated with dyspareunia<br />

or pain. On close inspection there is usually inflammation or<br />

redness located at the gl<strong>and</strong> orifice.<br />

Common infections occur in vulvar vestibulitis include.<br />

Trichomonas, c<strong>and</strong>ida, Gardnereua, herpes, <strong>and</strong> human<br />

papilloma virus.<br />

<strong>The</strong> treatment described for this condition has varied from<br />

close follow up to surgical excision of the hymeneal ring <strong>and</strong><br />

contiguous vestibule mucosa <strong>and</strong> submccosa abscess.<br />

Incidence<br />

Abscesses of the Bartholin gl<strong>and</strong> duct have been found in<br />

women of all ages, although they predominate in the<br />

reproductive years.<br />

265

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