An acupuncture-associated outbreak of hepatitis B in Jerusalem

Slater, Paul E.; Ben-Ishai, P.; Leventhal, Alex; Zahger, Doron; A, Bashary; Moses, Agnes; Costin, C; Shouval, Daniel

doi:10.1007/bf00148918

Cited by 30 publications

(17 citation statements)

References 6 publications

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“…For example, acupuncture-associated hepatitis B outbreaks were reported in UK,11 19 Jerusalem20 and USA21 between 1970 and 1990. Although there was no such report in China,22 23 considering the fact that China had a moderate-to-high risk of hepatitis B infection compared to many Western countries,24 the real situation might be similar in China 23.…”

Section: Discussionmentioning

confidence: 99%

Examination of Surface Conditions and Other Physical Properties of Commonly Used Stainless Steel Acupuncture Needles

Xie

Zhang

et al. 2014

Acupunct Med

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ObjectivesThe present work examined the surface conditions and various other physical properties of sterilised single-use stainless steel acupuncture needles from two of the most popular brands widely used in many countries.MethodsScanning electron microscope (SEM) images were taken for 10 randomly chosen needles from each brand. Further SEM images were taken after each of these needles underwent a standard manipulation with an acupuncture needling practice gel. A comparison of forces and torques during the needling process was also carried out.ResultsThe SEM images revealed significant surface irregularities and inconsistencies at the needle tips, especially for needles from one of the two brands. Metallic lumps and small, loosely attached pieces of material were observed on the surfaces of some needles. Some of the lumps and pieces of material seen on the needle surfaces disappeared after the acupuncture manipulation. If these needles had been used on patients, the metallic lumps and small pieces of material could have been deposited in human tissues, which could have caused adverse events such as dermatitis. Malformed needle tips might also cause other adverse effects including bleeding, haematoma/bruising, or strong pain during needling. An off-centre needle tip could result in the needle altering its direction during insertion and consequently failing to reach the intended acupuncture point or damaging adjacent tissues.ConclusionsThese findings highlight the need for improved quality control of acupuncture needles, with a view to further enhancing the safety and comfort of acupuncture users.

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Section: Discussionmentioning

confidence: 99%

Examination of Surface Conditions and Other Physical Properties of Commonly Used Stainless Steel Acupuncture Needles

Xie

Zhang

et al. 2014

Acupunct Med

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“…By monitoring the exposures of recently infected persons, surveillance for acute disease also provides the information critical for identifying outbreaks of hepatitis B that, while uncommon, do occur. Nosocomial outbreaks involving patient-to-patient transmission have occurred in association with a variety of transmission vehicles including multidose medication vials, reusable fingerstick devices, and other contaminated medical equipment 8,9,10,11,12 . Although cases of provider-to-patient transmission of HBV are rare in the United States continued vigilance is needed to detect these cases should they occur.…”

Section: Prevention Strategies/recommendationsmentioning

confidence: 99%

Selected Infectious Diseases

Elson¹

2017

Obstetric Care

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“…Complications in acupuncture practice may result from violations of sterile procedure and/or negligence of the practitioners. Serious side effects include cardiac tamponade [43,44], pneumothorax [45,46], endocarditis [47][48][49], hepatitis [50][51][52], chylothorax [53], and spinal cord injury [50,54], and minor side effects include fainting [55,56] and skin reactions [57][58][59][60]. Pneumothorax is the most common mechanical organ injury associated with acupuncture treatment [50,[61][62][63][64], and the related reports are from the United States [65][66][67], Canada [68], The Netherlands [69,70], France [71], Norway [63], Portugal [72,73], Denmark [74], Taiwan [75], Japan [50,76], China [45,77], and Hong Kong [78].…”

Section: Fingerbreadth (F-breadth)mentioning

confidence: 99%

Measuring the Thickness of the Abdominal Wall at Abdominal Acupoints Using Ultrasonography and Analyzing Correlations with Physical Examination Values in Functional Dyspepsia Patients

한¹,

박²,

김³

2016

J Int Korean Med

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Objective. To explore the existing scientific information regarding safe needling depth of acupuncture points and the needling depth of clinical efficacy. Methods. We searched the PubMed, EMBASE, Cochrane, Allied and Complementary Medicine (AMED), The National Center for Complementary and Alternative Medicine (NCCAM), and China National Knowledge Infrastructure (CNKI) databases to identify relevant monographs and related references from 1991 to 2013. Chinese journals and theses/dissertations were hand searched. Results. 47 studies were recruited and divided into 6 groups by measuring tools, that is, MRI, in vivo evaluation, CT, ultrasound, dissected specimen of cadavers, and another group with clinical efficacy. Each research was analyzed for study design, definition of safe depth, and factors that would affect the measured depths. Depths of clinical efficacy were discussed from the perspective of de-qi and other clinical observations. Conclusions. Great inconsistency in depth of each point measured from different subject groups and tools exists. The definition of safe depth should be established through standardization. There is also lack of researches to compare the clinical efficacy. A well-designed clinical trial selecting proper measuring tools to decide the actual and advisable needling depth for each point, to avoid adverse effects or complications and promote optimal clinical efficacy, is a top priority.

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An acupuncture-associated outbreak of hepatitis B in Jerusalem

Cited by 30 publications

References 6 publications

Examination of Surface Conditions and Other Physical Properties of Commonly Used Stainless Steel Acupuncture Needles

Examination of Surface Conditions and Other Physical Properties of Commonly Used Stainless Steel Acupuncture Needles

Selected Infectious Diseases

Measuring the Thickness of the Abdominal Wall at Abdominal Acupoints Using Ultrasonography and Analyzing Correlations with Physical Examination Values in Functional Dyspepsia Patients

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