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Comment & Response |

Undertreated and Untreated Pain Should Be Considered an Adverse Event of Neonatal Circumcision

Sofia Bisogni, RN, BSN, MSN1; Nicole Olivini, MD1; Filippo Festini, RN, BSN1
[+] Author Affiliations
1Department of Health Sciences, University of Florence, Meyer Children Hospital, Florence, Italy
JAMA Pediatr. 2014;168(11):1076-1077. doi:10.1001/jamapediatrics.2014.1653.
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To the Editor We read with great interest the article by El Bcheraoui et al1 recently published in JAMA Pediatrics. We believe that the rates of adverse events of male circumcision may have been underestimated. As a matter of fact, the authors did not mention intraoperative and postoperative pain as an adverse effect, especially in neonates. Nonetheless, authors in other studies consider undertreating or untreating procedural pain to be an actual adverse event.2

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November 1, 2014
Charbel El Bcheraoui, PhD; Kenneth L. Dominguez, MD; Peter H. Kilmarx, MD
1Epidemic Intelligence Service, Division of Applied Sciences, Scientific Education, and Professional Development Program, Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Georgia2Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia3Institute for Health Metrics and Evaluation, University of Washington, Seattle
2Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
JAMA Pediatr. 2014;168(11):1077. doi:10.1001/jamapediatrics.2014.1656.
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