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Comment & Response |

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

Charbel El Bcheraoui, PhD1,2,3; Kenneth L. Dominguez, MD2; Peter H. Kilmarx, MD2
[+] Author Affiliations
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, Georgia
2Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
3Institute for Health Metrics and Evaluation, University of Washington, Seattle
JAMA Pediatr. 2014;168(11):1077. doi:10.1001/jamapediatrics.2014.1656.
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In Reply We thank Bisogni et al for their comments recently published in JAMA Pediatrics about intraoperative and postoperative pain as an adverse event (AE) to male circumcision (MC). Use of appropriate analgesia for pain management is a good practice that should be the standard of care during and after any surgical procedure because it can substantially control pain.1 In a prospective study of 583 neonatal circumcisions performed between December 1, 2005, and December 1, 2008, when appropriate analgesia was applied, 93.5% of neonates circumcised in the first week of life showed no indication of pain on an objective standardized neonatal pain rating system used by the authors.2

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November 1, 2014
Sofia Bisogni, RN, BSN, MSN; Nicole Olivini, MD; Filippo Festini, RN, BSN
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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