Staphylococcus aureus colonization after neonatal circumcision in relation to device used
| Autor: | Arthur S. Dobek, Thomas E. Wiswell, Charles H. Zierdt, Jerri Curtis |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Male
medicine.medical_specialty Staphylococcus aureus Time Factors Circumcision procedure medicine.disease_cause Plastibell Urethra Medicine Humans Surgical Wound Infection Colonization Postoperative Period Prospective Studies Plastibell circumcision business.industry Infant Newborn Staphylococcal scalded skin syndrome medicine.disease Dermatology Surgery Circumcision Male Bacteremia Pediatrics Perinatology and Child Health Staphylococcal Skin Infections business Skin lesion |
| Zdroj: | The Journal of pediatrics. 119(2) |
| ISSN: | 0022-3476 |
| Popis: | Although infection after neonatal circumcision is uncommon, it is one of the leading complications of the procedure. I-3 The wotmd likely serves as a portal of entry for infection. Staphylococcus aureus is the most common organism isolated from locally infected circumcision sites) Infants who are colonized with S. aureus may be more likely to acquire local or systemic infection than are noncolonized infants. 46 Enzenauer et al. 6 found the abdominal walt skin of 2-week-old circumcised boys significantly more likely to be colonized with S. aureus than that of their uncircumcised counterparts. We similarly found periurethral colonization with the organism to be more common among circumcised boys at 2 weeks of age] In addition, circumcision has been implicated in the pathogenesis of the staphylococcal scalded skin syndrome), 9 S. aureus bacteremia, t~ and butlous impetigo.6, 11 Newborn boys are more likely to be colonized and to have infections with S. aureus than are newborn girls. 12 The most frequent site for skin lesions in boys is the anterior diaPer area, ! 2 and the circumcision procedure conceivably could play a role in staphylococcal colonization and subsequent infection. Gee and Ansell 2 and Stranko et al. ~ anecdotally found fewer infections after circumcision with the Gomco metal clamp compared with the Plastibell circumcision bell (Hollister Inc., Libertyville, Ill.) We performed this investigation to compare periurethral colonization with S. aureus after circumcision with either the Plastibell or Gomco device. |
| Databáze: | OpenAIRE |
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