Single-arm evaluation of the AccuCirc device for early infant male circumcision in Botswana.
Single-arm evaluation of the AccuCirc device for early infant male circumcision in Botswana.
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DOI：
10.1097/qai.0000000000000136
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发表时间：
2014-05-01
期刊：
影响因子：
--
通讯作者：
Lockman S
中科院分区：
文献类型：
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作者：
Plank RM;Wirth KE;Ndubuka NO;Abdullahi R;Nkgau M;Lesetedi C;Powis KM;Mmalane M;Makhema J;Shapiro R;Lockman S
Existing devices for early infant male circumcision (EIMC) have inherent limitations. We evaluated the newly developed AccuCirc device by circumcising 151 clinically well, full-term male infants with birth-weight ≥ 2.5 kg within the first 10 days of life from a convenience sample in two hospitals in Botswana. No major adverse events were observed. There was one local infection, five cases of minor bleeding and one case of moderate bleeding. In three cases the device made only partial incisions that were completed immediately by the provider without complications. Parental satisfaction was high: > 96% of mothers stated they would circumcise a future son. The pre-assembled, sterile AccuCirc kit has the potential to overcome obstacles related to supply chain management and on-site instrument disinfection that can pose challenges in resource-limited settings. In our study the AccuCirc was safe and it should be considered for programmatic EIMC in resource-limited settings.
