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Neonatal circumcisions and parental refusal of intramuscular vitamin K: A review of the literature and current guidelines.
J Pediatr Urol
December 2024
Division of Pediatric Urology, Department of Urology, New York University Langone Hospital-Long Island, Mineola, NY, USA.
Introduction: Parental refusal of intramuscular (IM) vitamin K in newborns poses challenges, particularly for pediatric urologists assessing the safety of neonatal circumcision. Vitamin K deficiency bleeding (VKDB) is a known risk, with lack of prophylaxis increasing bleeding complications. This study evaluates the safety of neonatal circumcision without IM vitamin K, reviews guidelines, and explores alternative prophylaxis options.
View Article and Find Full Text PDFManagement of Neonatal Pain Associated with Circumcision.
Crit Care Nurs Clin North Am
December 2024
Morehead State University, 316 West Second Street, 201D Center for Health, Education, and Research, Morehead, KY 40351, USA.
Circumcision is a painful procedure that may be performed on newborns. Pain management is provided through pharmacologic and nonpharmacological methods such as administration of anesthetics, analgesia, nutritive sucking, music, and touch during and post procedure. Pain scales may be used to assess physiologic and behavioral changes in the newborn as part of the pain management process.
View Article and Find Full Text PDFIsraeli neonatal herpes simplex infection: Unique epidemiology and clinical profile.
J Med Virol
September 2024
Pediatric Infectious diseases Unit, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Article Synopsis
- A study conducted on Israeli neonatal herpes simplex virus (NHSV) infection collected data from 2015 to 2022, comparing clinical characteristics of NHSV patients with those suffering from neonatal enteroviral meningitis (NEM).
- The results showed an NHSV incidence of 5.9 per 100,000 live births, with notable demographics suggesting that horizontal transmission was linked to practices like ritual circumcision.
- NHSV patients presented unique symptoms such as a lower incidence of fever and irritability but showed a tendency for rashes and seizures, marking a distinct clinical profile compared to NEM, which can help guide treatment approaches for infected newborns.
Office-based pediatric urology procedures.
Urol Ann
July 2024
Department of Urology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Introduction: Office-based procedures under local anesthesia are not a popular and well-accepted concept in pediatric urology except for newborn circumcision. There is limited literature on the utilization of office-based procedures under local anesthesia in pediatric urology. In this study, we present our experience of office-based procedures under local anesthesia from a tertiary center.
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