Uncircumcised boys at higher risk of urinary tract infections

July 09, 2012

Uncircumcised boys are at higher risk of urinary tract infection, regardless of whether the urethra is visible, found a new study published in CMAJ (Canadian Medical Association Journal).

Urinary tract infections are one of the most common serious bacterial infections in children and, if not treated, can cause an infection of the blood or scar the kidneys.

To determine whether the risk for infection is higher in boys with a visible urethral meatus, researchers looked at a cross-section of 393 boys who visited an emergency department with symptoms of a possible urinary tract infection. Of the 393 boys, 40 were uncircumcised and had a visible urethral meatus, 269 had a partially or nonvisible meatus, and 84 were circumcised.

"We thought that incomplete foreskin retractability with a poorly visible urethral meatus may be associated with increased risk of urinary tract infection," writes Dr. Sasha Dubrovsky, Montreal Children's Hospital, McGill University Health Centre, with coauthors. "However, we found no difference in risk with degree of visibility of the urethral opening."

The researchers did find that boys with a completely visible urethral meatus were at higher risk of infection, but recommended interpreting this result with caution given the small sample size of the group and that other studies have not found this association.

"We suggest that clinicians should consider circumcision status alone, not the degree of urethral visibility, when stratifying risk for boys presenting to the emergency department with symptoms or signs suggestioning a urinary tract infection," they conclude.
-end-


Canadian Medical Association Journal

Related Emergency Department Articles from Brightsurf:

Deep learning in the emergency department
Harnessing the power of deep learning leads to better predictions of patient admissions and flow in emergency departments

Checklist for emergency department team's COVID-19 surge
After reviewing the literature on COVID-19 scientific publications the authors developed a checklist to guide emergency departments.

Why is appendicitis not always diagnosed in the emergency department?
A new study examines the factors associated with a potentially missed diagnosis of appendicitis in children and adults in the emergency department.

Providing contraceptive care in the pediatric emergency department
A new study found that two-thirds of female adolescents ages 16-21 seen in a pediatric Emergency Department (ED) were interested in discussing contraception, despite having a high rate of recent visits to a primary care provider.

Low back pain accounts for a third of new emergency department imaging in the US
The use of imaging for the initial evaluation of patients with low back pain in the emergency department (ED) continues to occur at a high rate -- one in three new emergency visits for low back pain in the United States -- according to the American Journal of Roentgenology (AJR).

Emergency department admissions of children for sexual abuse
This study analyzed emergency department admissions of children for sexual abuse between 2010 and 2016 using a nationwide database of emergency visits and US Census Bureau data.

30-day death rates after emergency department visits
Researchers used Medicare data from 2009 to 2016 to see how 30-day death rates associated with emergency department visits have changed.

Preventing smoking -- evidence from urban emergency department patients
A new study from the Prevention Research Center of the Pacific Institute for Research and Evaluation offers a more in-depth understanding of smoking among patients in an urban emergency department.

When a freestanding emergency department comes to town, costs go up
Rather than functioning as substitutes for hospital-based emergency departments, freestanding emergency departments have increased local market spending on emergency care in three of four states' markets where they have entered, according to a new paper by experts at Rice University.

Emoji buttons gauge emergency department sentiments in real time
Simple button terminals stationed around emergency departments featuring 'emoji' reflecting a range of emotions are effective in monitoring doctor and patient sentiments in real time.

Read More: Emergency Department News and Emergency Department Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.