原创力文档safety of over twelve hundred infant male circumcisions using the mogen clamp in kenya超过一千二百婴儿安全使用mogen夹在肯尼亚男性环切.pdfVIP
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safety of over twelve hundred infant male circumcisions using the mogen clamp in kenya超过一千二百婴儿安全使用mogen夹在肯尼亚男性环切
Safety of over Twelve Hundred Infant Male Circumcisions
Using the Mogen Clamp in Kenya
1 1,2 2 3 2
Marisa R. Young *, Robert C. Bailey , Elijah Odoyo-June , Tracy E. Irwin , Walter Obiero ,
4 5 6 3
Dedan O. Ongong’a , Jacinta A. Badia , Kawango Agot , Sherry K. Nordstrom
1 Department of Epidemiology and Biostatistics, University of Illinois at Chicago School of Public Health, Chicago, Illinois, United States of America, 2 Nyanza Reproductive
Health Society, Kisumu, Kenya, 3 Department of Obstetrics and Gynecology, University of Illinois at Chicago College of Medicine, Chicago, Illinois, United States of
America, 4 Department of Surgery, Nyanza Provincial General Hospital, Kisumu, Kenya, 5 CARE International, Kisii, Kenya, 6 Impact Research and Development
Organisation, Kisumu, Kenya
Abstract
Background: Several sub-Saharan African countries plan to scale-up infant male circumcision (IMC) for cost-efficient HIV
prevention. Little data exist about the safety of IMC in East and southern Africa. We calculated adverse event (AE) rate and
risks for AEs associated with introduction of IMC services at five government health facilities in western Kenya.
Methods: AE data were analyzed for IMC procedures performed between September, 2009 and November, 2011. Healthy
infants aged #2 months and weighing $2.5 kg were eligible for IMC. Following parental consent, trained clinicians
provided IMC services free of charge under local anesthesia using the Mogen clamp. Odds ratios and 95% confidence
intervals were used to explore AE risk factors.
Findings: A total of 1,239 IM
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