PEDIATRICS Vol. 78 No. 1 July 1986, pp. 96-99
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Wiswell, T. E.
Right arrow Articles by Roscelli, J. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wiswell, T. E.
Right arrow Articles by Roscelli, J. D.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Corroborative Evidence for the Decreased Incidence of Urinary Tract Infections in Circumcised Male Infants

Thomas E. Wiswell MC, USA1 and John D. Roscelli MC, USA1

1 From the Department of Pediatrics, Brooke Army Medical Center, Ft Sam Houston, Texas

We report the results of a two-part study examining the incidence of urinary tract infection during the first year of life. In the first part of the investigation, we reviewed the occurrence of urinary tract infection in a cohort of 3,924 infants born at our institution during a 4-year period. Infection developed in 16 infants (0.41%). The incidence of urinary tract infection in noncircumcised males was greater than the incidence in both female (P < .004) and circumcised male (P < .001) infants. In the second part of the study, we explored the frequency of urinary tract infection in all infants born in US Army hospitals, worldwide, over a 10-year period. There were 422,328 infants born in army facilities during this time period. Subsequent hospitalization for urinary tract infection occurred for 1,825 (0.43%) infants during the first year of life. Overall, there was no male preponderance for infections in early infancy compared with females. After an equivalent incidence during the first month of life, female infants had significantly more infections than did male infants (P < .001). However, noncircumcised male infants had a higher incidence of urinary tract infection than female infants (P < .001). Additionally, noncircumcised male infants had a tenfold greater incidence of infection than circumcised male infants (P < .001). There was a significant decrease in the circumcision frequency rate during the 10-year study period (from 85.4% to 73.9%, P < .001). As the number of circumcisions decreased, there was a concomitant increase in the overall number of urinary tract infections in males (P <.02). A reduced incidence of infection may be at least one medical benefit of routine neonatal circumcision.

Key Words: urinary tract infection • circumcision

Submitted on July 15, 1985


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
W. H. Luk, Y. H. Woo, A. W. S. Au-Yeung, and J. C. S. Chan
Imaging in Pediatric Urinary Tract Infection: A 9-Year Local Experience
Am. J. Roentgenol., May 1, 2009; 192(5): 1253 - 1260.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
D. M. Fergusson, J. M. Boden, and L. J. Horwood
Circumcision Status and Risk of Sexually Transmitted Infection in Young Adult Males: An Analysis of a Longitudinal Birth Cohort
Pediatrics, November 1, 2006; 118(5): 1971 - 1977.
[Abstract] [Full Text] [PDF]

Home page
 Postgrad. Med. J.Home page
I Blumenthal
Vesicoureteric reflux and urinary tract infection in children
Postgrad. Med. J., January 1, 2006; 82(963): 31 - 35.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
A. R. Schroeder, T. B. Newman, R. C. Wasserman, S. A. Finch, and R. H. Pantell
Choice of Urine Collection Methods for the Diagnosis of Urinary Tract Infection in Young, Febrile Infants
Arch Pediatr Adolesc Med, October 1, 2005; 159(10): 915 - 922.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
J. J. Zorc, D. A. Levine, S. L. Platt, P. S. Dayan, C. G. Macias, W. Krief, J. Schor, D. Bank, K. N. Shaw, N. Kuppermann, et al.
Clinical and Demographic Factors Associated With Urinary Tract Infection in Young Febrile Infants
Pediatrics, September 1, 2005; 116(3): 644 - 648.
[Abstract] [Full Text] [PDF]

Home page
 Clin. Microbiol. Rev.Home page
J. J. Zorc, D. A. Kiddoo, and K. N. Shaw
Diagnosis and Management of Pediatric Urinary Tract Infections
Clin. Microbiol. Rev., April 1, 2005; 18(2): 417 - 422.
[Abstract] [Full Text] [PDF]

Home page
 Med Decis MakingHome page
R. S. Van Howe
A Cost-Utility Analysis of Neonatal Circumcision
Med Decis Making, November 1, 2004; 24(6): 584 - 601.
[Abstract] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
T. B. Newman, J. A. Bernzweig, J. I. Takayama, S. A. Finch, R. C. Wasserman, and R. H. Pantell
Urine Testing and Urinary Tract Infections in Febrile Infants Seen in Office Settings: The Pediatric Research in Office Settings' Febrile Infant Study
Arch Pediatr Adolesc Med, January 1, 2002; 156(1): 44 - 54.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
T. B. Newman;, Wm. Lane, M. Robson, R. S. Van Howe;, M. F. Mangano;, and T. E. Wiswell
Circumcisions: Again
Pediatrics, August 1, 2001; 108 (2): 522 - 524.
[Full Text] [PDF]

Home page
 PediatricsHome page
R. Adler, M. S. Ottaway, and S. Gould
Circumcision: We Have Heard From the Experts; Now Let's Hear From the Parents
Pediatrics, February 1, 2001; 107(2): 20e - 20.
[Abstract] [Full Text]

Home page
 CLIN PEDIATRHome page
D. L. Cason, B. S. Carter, and J. Bhatia
Can Circumcision Prevent Recurrent Urinary Tract Infections in Hospitalized Infants?
Clinical Pediatrics, December 1, 2000; 39(12): 699 - 703.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
F. J. Heidrich, M. A. Barone, and E. Spiegler
UTI: Diagnosis and Evaluation in Symptomatic Pediatric Patients
Clinical Pediatrics, August 1, 2000; 39(8): 461 - 472.
[Abstract] [PDF]

Home page
 PediatricsHome page
T. E. Wiswell
The Prepuce, Urinary Tract Infections, and the Consequences
Pediatrics, April 1, 2000; 105(4): 860 - 862.
[Full Text]

Home page
 PediatricsHome page
E. J. Schoen, T. E. Wiswell, and S. Moses
New Policy on Circumcision---Cause for Concern
Pediatrics, March 1, 2000; 105(3): 620 - 623.
[Full Text]

Home page
 PediatricsHome page
D. A. Christakis, E. Harvey, D. M. Zerr, C. Feudtner, J. A. Wright, and F. A. Connell
A Trade-off Analysis of Routine Newborn Circumcision
Pediatrics, January 1, 2000; 105(1): 246 - 249.
[Abstract] [Full Text]

Home page
 PediatricsHome page
Committee on Quality Improvement, Subcommittee on
Practice Parameter: The Diagnosis, Treatment, and Evaluation of the Initial Urinary Tract Infection in Febrile Infants and Young Children
Pediatrics, April 1, 1999; 103(4): 843 - 852.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
S. M. Downs
Technical Report: Urinary Tract Infections in Febrile Infants and Young Children
Pediatrics, April 1, 1999; 103(4): 54e - 54.
[Abstract] [Full Text]

Home page
 PediatricsHome page
Task Force on Circumcision
Circumcision Policy Statement
Pediatrics, March 1, 1999; 103(3): 686 - 693.
[Abstract] [Full Text]

Home page
 Arch Pediatr Adolesc MedHome page
M. R. Storms, Y. Schlesinger, and J. Urbach
Circumcision and Endocarditis Prophylaxis
Arch Pediatr Adolesc Med, October 1, 1998; 152(10): 1038 - 1039.
[Full Text] [PDF]

Home page
 PediatricsHome page
K. N. Shaw, M. Gorelick, K. L. McGowan, N. M. Yakscoe, and J. S. Schwartz
Prevalence of Urinary Tract Infection in Febrile Young Children in the Emergency Department
Pediatrics, August 1, 1998; 102(2): e16 - 16.
[Abstract] [Full Text] [PDF]

Home page
 JAMAHome page
J. Lander, B. Brady-Fryer, J. B. Metcalfe, S. Nazarali, and S. Muttitt
Comparison of Ring Block, Dorsal Penile Nerve Block, and Topical Anesthesia for Neonatal Circumcision: A Randomized Controlled Trial
JAMA, December 24, 1997; 278(24): 2157 - 2162.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
T. E. Wiswell and W. E. Hachey
Urinary Tract Infections and the Uncircumcised State: An Update
Clinical Pediatrics, March 1, 1993; 32(3): 130 - 134.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
H. A. Cohen, M. M. Drucker, S. Vainer, A. Ashkenasi, J. Amir, M. Frydman, and I. Varsano
Postcircumcision Urinary Tract Infection
Clinical Pediatrics, June 1, 1992; 31(6): 322 - 324.
[Abstract] [PDF]

Home page
 JAMAHome page
D. H. Spach, A. E. Stapleton, and W. E. Stamm
Lack of Circumcision Increases the Risk of Urinary Tract Infection in Young Men
JAMA, February 5, 1992; 267(5): 679 - 681.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
J. B. Chessare
Circumcision: Is the Risk of Urinary Tract Infection Really the Pivotal Issue?
Clinical Pediatrics, February 1, 1992; 31(2): 100 - 104.
[Abstract] [PDF]

Home page
 Med Decis MakingHome page
T. G. Ganiats, J. B.C. Humphrey, H. L. Taras, and R. M. Kaplan
Routine Neonatal Circumcision: A Cost-Utility Analysis
Med Decis Making, December 1, 1991; 11(4): 282 - 292.
[Abstract] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
L. HOPP
Circumcision and Urinary Tract Abnormalities
Arch Pediatr Adolesc Med, November 1, 1989; 143(11): 1262 - 1262.
[Abstract] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
R. M. ROCKNEY and A. A. CALDAMONE
Circumcision and Urinary Tract Abnormalities
Arch Pediatr Adolesc Med, November 1, 1989; 143(11): 1261 - 1262.
[Abstract] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
L. W. Herzog
Urinary Tract Infections and Circumcision: A Case-Control Study
Arch Pediatr Adolesc Med, March 1, 1989; 143(3): 348 - 350.
[Abstract] [PDF]