How should medication be used for vulvitis in girls?

Patient's question:

My baby is almost 4 years old and has labial adhesion. I was careless and thought the vagina hadn't developed. A month ago, she had a lot of itching down there and scratched the layer of the membrane herself with her hands. That's when I noticed the vagina—it was red. I went to the local pediatric hospital and they recommended potassium permanganate sitz baths. Over the past three weeks, it has been recurring, and it has now become severe—redness, swelling, itching, and small red spots near the labia majora with rust-like discharge. I went to the gynecology department and they prescribed metronidazole.

Doctor's answer:

Based on the symptoms you described, infantile vaginitis often coexists with vulvitis, and severe transmission can lead to recurrent adhesion of the labia minora. It is essential to maintain the cleanliness and dryness of the infant's external genitalia, avoiding friction; administer sufficient oral antibiotics, or use a dropper to inject antibiotic solution into the vagina. Additionally, it is necessary to visit a large hospital for a thorough examination. If pinworms are present, deworming treatment should be provided; if there is a foreign body in the vagina, it should be removed promptly. For adhesion of the labia minora, continue applying antibiotic ointment.

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