Document Detail


Urinary tract infection following ritual Jewish circumcision.
MedLine Citation:
PMID:  8960080     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Circumcision seems to reduce the overall incidence of urinary tract infections (UTI), although a few studies have suggested that ritual circumcision may be a predisposing factor for UTI within the first 2 weeks following the procedure. The aim of this study was to investigate a possible causal relationship between ritual circumcision and UTI. The study comprised 82 infants with UTI, 55 females and 27 males under the age of 1 year. All males were circumcised on the eighth day of life. The median age of infection was 0.75 and 7.0 months for males and females, respectively. Fifty-two percent (14/27) of UTI episodes were diagnosed within the 2 weeks following circumcision. A significantly lower incidence in Escherichia coli-induced UTI was observed in males compared to females, 67% and 93%, respectively. Similarly, the incidence of E. coli-induced UTI was also significantly lower in males presenting within 2 weeks following circumcision (57%) compared to infants presenting prior or more than 2 weeks following the procedure (92%). Positive blood cultures of an identical microorganism were observed in 6/27 males compared to 2/55 females. The incidence of urinary tract malformations and their severity were similar in both sexes. We conclude that the high incidence of UTI following a ritual Jewish circumcision, as well as the relatively high preponderance of bacteria other than E. coli, may suggest a causal relationship between circumcision and UTI.
Authors:
M Goldman; J Barr; T Bistritzer; M Aladjem
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Israel journal of medical sciences     Volume:  32     ISSN:  0021-2180     ISO Abbreviation:  Isr. J. Med. Sci.     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-01-07     Completed Date:  1997-01-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0013105     Medline TA:  Isr J Med Sci     Country:  ISRAEL    
Other Details:
Languages:  eng     Pagination:  1098-102     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Assaf Harofeh Medical Center, Israel.
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Circumcision, Male / adverse effects*
Female
Humans
Infant
Infant, Newborn
Israel / epidemiology
Jews*
Male
Religion and Medicine
Sex Factors
Urinary Tract Infections / epidemiology,  etiology*,  microbiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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