Can children get STDs?

When you think of STDs, you usually think of adults being infected due to sexual contact. So can children get STDs too? The answer is yes. Let’s start with a true story. Half a month ago, 30-year-old Wang teacher in the 6-year-old daughter to wash the vulva found that the child’s vulva red and swollen, vulva and underwear and yellow pus secretion, often use their hands to scratch, and increased urination, Wang teacher natural especially anxious, take the child around to seek medical treatment, first see the pediatrics department, pediatrician said that can not be seen, so let’s look at the dermatology department, the results of the results of my place. I inquired in detail about the medical history, carefully examined the child’s vulva, to mother and daughter at the same time to prescribe laboratory tests: gonococcal smear and culture, smear results soon came out, the child was positive, the mother was negative, I said that there is no hurry to use the drug, and wait for two days to gonococcal culture and then say. Two days later, the culture results came out, both mother and daughter were positive, and finally diagnosed with gonorrhea. Ms. Wang could not believe it and felt particularly wronged: “How can it be, I have never behaved properly, how can I get an STD?” In order to clarify the source of infection, I asked Mr. Wang to bring his lover to do a checkup, and asked him individually whether there is a history of unclean sexual contact, in front of two positive labs, and finally the young man admitted that a month ago there was an unclean sexual contact, less than a week after the contact, there was a pain in urination, urethral pus, they bought some anti-inflammatory drugs in the drugstore to eat, and soon the symptoms disappeared, and his wife did not find that there was an abnormality after intercourse, taking a chance on the mental illness. Abnormal, with a fluke mentality that he was cured, taking into account the family relationship, did not tell his wife, but did not expect to let the whole family suffered. Ms. Wang also asked me why she did not have symptoms but infected her daughter, I told her because the female urethra is short and wide, part of the infection can be completely symptom-free, while the young girl’s defenses are poor, especially the vaginal epithelium is not fully developed, it is easy to be infected due to the sharing of towels within the family or close living contact. This family of three after the diagnosis is clear, at the same time to receive formal treatment, and then three people’s disease although cured, but to the wife and daughter caused by the damage, but it is difficult to make up. In recent years, the incidence of children suffering from sexually transmitted diseases continues to rise, the reasons for this come from a variety of sources, on the one hand, the children’s defense function is poor, easy to be attacked by pathogens; on the other hand, the source of infection from parents, family, society, children become innocent victims, through a variety of ways to infected with sexually transmitted diseases: 1, the infection within the family: by the diseased members of the family (parents, relatives, or babysitters, etc.), through daily life 1. Infection within the family: Infected by family members (parents, relatives or babysitters, etc.) through close contact in daily life (sharing bathtubs, bedpans, towels, bedding, etc.). For example, in the example just now, the husband was infected with gonorrhea due to non-marital sexual contact, and then passed it on to his wife, and then passed it on to his children through the bathtubs and towels that the children shared with their mothers, resulting in children being infected with sexually transmitted infections, such as gonorrhea and condyloma acuminatum; 2. Infection in public places: most of the infections occur in kindergartens and nurseries, and are contracted through objects contaminated with sexually transmitted infections; 3. Medically transmitted infections: infections due to blood transfusions. In recent years, the prevalence of children infected with hepatitis (hepatitis B, hepatitis C) due to blood transfusion is gradually increasing; 4, congenital infection: fetal in utero infection with syphilis spirochetes, miscarriage, stillbirth, teratology, or congenital syphilis can occur. Delivery of gonococcal infection of the birth canal, gonococcal conjunctivitis can occur in newborns. There is also AIDS, the mother during pregnancy or before pregnancy infected with HIV, through vertical infection, resulting in congenital AIDS in children; 5, direct infection: in rare cases, young girls are sexually assaulted or sexual violence resulting in STD infection. At present, China’s children are still suffering from sexually transmitted diseases mainly gonorrhea, accounting for more than 80%, so let’s talk about gonorrhea. Gonorrhea is one of the most common STDs. Gonorrhea in children is most common in young girls with gonorrhea vulvovaginitis and newborns with gonorrhea ophthalmia. The majority of the former are infected through indirect ways, such as living in close contact with the mother who has gonorrhea, because the vaginal columnar epithelial cells of the little girl are thin, weak resistance, easy to be infected by gonococcus. After infection, the perineal area becomes red and swollen, and purulent discharge appears in the vagina, and there can also be painful urination. Neonatal gonococcal ophthalmia is caused by the direct transmission of gonorrhea from the birth canal to the newborn through the mother who has gonorrhea, during vaginal delivery. It usually develops 48 hours after birth and is characterized by increased, purulent discharge from both eyes, congestion and edema of the conjunctiva, and in severe cases, ulceration of the cornea, which can even lead to blindness. Let’s talk about syphilis. Women with syphilis who are pregnant without regular treatment can transmit syphilis to their fetus for at least five years, and this type of fetal syphilis caused by transplacental transmission from the mother is called congenital syphilis. It is divided into early and late two kinds, early occurred within two years of age, the child is often born prematurely, the performance of malnutrition, loose skin, wrinkles (like the old man look), two nostrils runny pus, skin appeared in the small red spots, small pimples or small blisters, there are radial cracks around the mouth, but also may have liver and spleen enlargement, enlarged lymph nodes, bone damage, eye damage, and even brain damage, and so on. Late congenital syphilis occurs after the age of 2 years and can continue until around puberty. There are three main symptoms: 1, substantial keratitis: most often seen at the age of 5 to 15 years old, manifested as bilateral corneal congestion, clouding, photophobia and tearing, vision loss, or even blindness; 2, neurological deafness: mostly around the age of 10 years old, the onset of the disease is sudden, occurring in both sides of the deafness; 3, Hutchinson’s tooth: manifested as incisor hypoplasia, sparse and uneven arrangement, incisor occlusal edge of the center with defects. In addition, it can be accompanied by skin damage, bone damage, nerve damage and so on. In addition to congenital syphilis, syphilis in children can also be infected later in life, and the way of infection can be either direct sexual contact or indirect infection. Thirdly, AIDS. AIDS is one of the diseases that have seriously threatened human health in recent years and is spreading rapidly. AIDS in children is mostly transmitted from mother to child, and the number of cases is on the rise. According to estimates by UNAIDS and the World Health Organization, more than 1,000 children are infected with HIV every day. After a child is infected with HIV, the incubation period is 4 to 57 months, with an average of 12 months. This period is asymptomatic, but antibodies appear in the serum. After entering the AIDS-related syndrome period, the child begins to have systemic symptoms such as fever, malaise, loss of appetite, weight loss, chronic diarrhea, accompanied by generalized lymph node enlargement, hepatosplenomegaly, etc. After that, it combines with conditional infections and malignant tumors, and gradually fails and eventually dies. For how to prevent STDs in children, experts put forward a number of recommendations: 1, to take various measures to eliminate social scandals, purify the social atmosphere; the prevention of STDs in children on the agenda, to attract the attention of all parties; 2, parents must be clean, pay attention to personal hygiene, and get sick in time for treatment. It is best to separate the living utensils of adults and children in the family. When hiring a nanny to take care of the children, to check their health certificates; 3, infected with sexually transmitted diseases of women in the absence of a cure, do not get pregnant or terminate the pregnancy, after pregnancy, if suffering from sexually transmitted diseases, should be promptly to the hospital for treatment and regular review; 4, as far as possible not to take children to public baths, kindergarten caregivers to have a health check-up certificate; 5, if you find that the child’s vulva red and swollen, or long bumps, or underpants with secretion and scabs, etc., must as soon as possible to the regular hospital for the first time, and then to the children’s hospital. If you find children’s vulva red, swollen or with pimples, or with secretions and scabs on their underpants, you must send them to regular hospitals as soon as possible so that STDs can be detected and treated early. We hope that the whole society will pay attention to the prevention and treatment of STDs in children, and create a good social environment for children, so that the flowers of our motherland can grow up healthily and happily!