This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Case-Control Study

Lynn W. Herzog, MD, MPH

Am J Dis Child. 1989;143(3):348-350.

Abstract
• It has been shown that uncircumcised infants have a higher rate of urinary tract infections in the first few months of life. To investigate further the association between noncircumcision and urinary tract infections, a case-control study was performed of infant boys who had a catheterized or suprapubic urine culture done as part of an acute illness visit. Cases (n = 36) were those infants who had a positive culture (>105 organisms per milliliter); controls (n=76) had a negative culture(<103 organisms per milliliter). There were no significant differences found in the two groups in age, ethnic group, and type of medical insurance. All of the cases were uncircumcised, vs 32% of controls. The data were analyzed separately by age, ethnic group, type of insurance, and method of culture, and in all groups the cases were significantly more likely to be uncircumcised. Of the 31 cases who underwent roentgenographic investigations, 8 had abnormal findings. Noncircumcision seems to be a highly significant risk factor for urinary tract infection in infants up to 12 months of age, affects infants regardless of race and socioeconomic status, and is associated with anatomic abnormalities in 26% of cases.

(AJDC. 1989;143:348-350)

Author Affiliations
From the Division of Ambulatory Pediatrics, The Children's Hospital, and the Department of Pediatrics, Harvard Medical School, Boston, Mass. Presented in part at the Annual Meeting of the Ambulatory Pediatric Association, Washington, DC, May 3, 1988.

Footnotes
Accepted for publication November 19, 1988.

Reprint requests to Comprehensive Child Health Program, Children's Hospital, 300 Long-wood Ave, Boston, MA 02115 (Dr Herzog).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Is ritual circumcision a risk factor for neonatal urinary tract infections?
Prais et al.
Arch. Dis. Child. 2009;94:191-194.
ABSTRACT | FULL TEXT  

Choice of Urine Collection Methods for the Diagnosis of Urinary Tract Infection in Young, Febrile Infants
Schroeder et al.
Arch Pediatr Adolesc Med 2005;159:915-922.
ABSTRACT | FULL TEXT  

Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies
Singh-Grewal et al.
Arch. Dis. Child. 2005;90:853-858.
ABSTRACT | FULL TEXT  

Parenting Book Recommendations for Commonly Encountered Pediatric Issues
Mau et al.
CLIN PEDIATR 2004;43:643-646.
ABSTRACT  

Newborn Circumcision and Urinary Tract Infections
Bartman; et al.
Pediatrics 2001;107:210b-214.
FULL TEXT  

Newborn Circumcision Decreases Incidence and Costs of Urinary Tract Infections During the First Year of Life
Schoen et al.
Pediatrics 2000;105:789-793.
ABSTRACT | FULL TEXT  

New Policy on Circumcision---Cause for Concern
Schoen et al.
Pediatrics 2000;105:620-623.
FULL TEXT  

The Highly Protective Effect of Newborn Circumcision Against Invasive Penile Cancer
Schoen et al.
Pediatrics 2000;105:36e-36.
ABSTRACT | FULL TEXT  

Circumcision Policy Statement
Task Force on Circumcision
Pediatrics 1999;103:686-693.
ABSTRACT | FULL TEXT  

Circumcision in the United States: Prevalence, Prophylactic Effects, and Sexual Practice
Laumann et al.
JAMA 1997;277:1052-1057.
ABSTRACT  

Urinary Tract Infections and the Uncircumcised State: An Update
Wiswell and Hachey
CLIN PEDIATR 1993;32:130-134.
ABSTRACT  

Postcircumcision Urinary Tract Infection
Cohen et al.
CLIN PEDIATR 1992;31:322-324.
ABSTRACT  

Routine Neonatal Circumcision: A Cost-Utility Analysis
Ganiats et al.
Med Decis Making 1991;11:282-292.
ABSTRACT  

CIRCUMCISION PREVENTS UTI IN INFANT BOYS
JWatch General 1989;1989:2-2.
FULL TEXT