Clinical Motivation behind the Bobbi Baby Shield

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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