Single-Arm Evaluation of the AccuCirc Device for Early Infant Male Circumcision in Botswana

Plank, Rebeca M; Wirth, Kathleen E; Ndubuka, Nnamdi O; Abdullahi, Rasak; Nkgau, Maggie; Lesetedi, Chiapo; Powis, Kathleen M; Mmalane, Mompati; Makhema, Joseph; Shapiro, Roger; Lockman, Shahin

doi:10.1097/QAI.0000000000000136

i

Single-Arm Evaluation of the AccuCirc Device for Early Infant Male Circumcision in Botswana

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May 1 2014
By Plank, Rebeca M ; Wirth, Kathleen E ; Ndubuka, Nnamdi O ; ...

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Alternative Title:

J Acquir Immune Defic Syndr
Personal Author:

Plank, Rebeca M ; Wirth, Kathleen E ; Ndubuka, Nnamdi O ; Abdullahi, Rasak ; Nkgau, Maggie ; Lesetedi, Chiapo ; Powis, Kathleen M ; Mmalane, Mompati ; Makhema, Joseph ; Shapiro, Roger ; Lockman, Shahin
Description:

: 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 2 hospitals in Botswana. No major adverse events were observed. There was 1 local infection, 5 cases of minor bleeding, and 1 case of moderate bleeding. In 3 cases, the device made only partial incisions that were completed immediately by the provider without complications. Parental satisfaction was high: >96% of mothers stated that 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.
Subjects:

Article Botswana Circumcision, Male Equipment And Supplies Humans Infant, Newborn Male Patient Acceptance Of Health Care Surgical Wound Infection Treatment Outcome
Source:

J Acquir Immune Defic Syndr. 66(1):1-6.
Pubmed ID:

24594500
Pubmed Central ID:

PMC4041082
Document Type:

Journal Article
Funding:

K23 AI084579/AI/NIAID NIH HHS/United States ; U2G PS000941/PS/NCHHSTP CDC HHS/United States
Volume:

66
Issue:

1
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:9d28f1495e06ade36246d8d37edc55344fffad4402baf9e60458234764753d0c
Download URL:

https://stacks.cdc.gov/view/cdc/41962/cdc_41962_DS1.pdf
File Type:

[PDF - 120.27 KB ]

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