The attached medical publications indicate the following:-
- There is an incidence of sepsis post Hypospadias repair and circumcision.
- Most septic cases are minor but there are cases of more severe infection resulting in significant morbidity and in some cases mortality.
- Staphylococcal colonisation in neonates.
- This staphylococcus colonisation takes place in either the nursery or outside of the hospital. There is a link between physical hand contact and staphylococcus transmission.
- Male infants experience a higher level of staphylococcal colonisation than female infants.
- Circumcised infants have a higher incidence of staphylococcal colonisation than uncircumcised infants. This may be due to the additional physical contact required before, during and after the procedure.
- Whilst the Hypospadias repair or circumcision procedure is carried out under sterile conditions, subsequent handling and care of the penis may be carried out under non-sterile conditions.
- There is general agreement that a concerted effort to minimise infection risk is required.
Ref 3 ~ Necrotising fasciitis after plastibell circumcision (Bliss, Healey, Waldhausen 1997)
Ref 4 ~ Necrotising fascitis after neonatal circumcision ~ (Woodside J R 1980)
Ref 5 ~ Wound diphtheria in newborn following circumcision (Rosenstein JL)
Ref 6 ~ Male predominance in staph colonisation & infection of the newborn (Enzenauer RW, Leonard T, Bass JW 1985)
Ref 7 ~ Incidence of neonatal staph pyoderma in males (Enzenauer RW, Dotson C , Leonard T 1984)
Ref 8 ~ MRSA in Previously healthy neonates (Fortunov RM, Kaplan SL 2008)
Ref 10 ~ Transmission of Staphylococcus aureus from maternity unit staff members to newborns disclosed through spa typing
Ref 12 ~ Obstetric, perinatal and neonatal infection (Shanson D 1999)
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