针灸相关医院感染的新动向 2010

wjllulu

(March 19, 2010 - Insidermedicine)
With the increasing popularity of acupuncture, cases of infection spread by this treatment are also on the rise, according to an editorial published online ahead of print in the British Medical Journal.

Here are some ways to minimize your risk of being infected during an acupuncture treatment:

•    Be sure your practitioner uses only disposable needles

•    Make sure your practitioner disinfects your skin before inserting needles

•    Be sure your practitioner uses only sterile equipment, such as cotton swabs, towels, or hot pack covers

To date, more than 50 cases of bacterial infections causing pus-filled lesions have been reported to be associated with acupuncture, and experts from the University of Hong Kong believe this is just the tip of the iceberg. Usually, the infection is caused by failing to adequately disinfect the skin before inserting an acupuncture needle. These infections are usually limited to the skin and surrounding tissue, but rarely can spread, causing joint destruction, multi-organ failure, flesh eating disease, paralysis, and even death. Hepatitis B and antibiotic-resistant bacterial infections have been spread by acupuncture needles, and there is a theoretical risk that they could cause the spread of hepatitis C and even HIV.

Recently, experts have discovered a new clinical entity they have called “acupuncture mycobacteriosis”. It is a skin infection caused by acupuncture that starts as a red lump at the site where the needle was inserted. Over weeks or months it can develop into a large pustule, abscess, or ulcer. So far, two large outbreaks of this condition are known to have affected more than 70 people.

Today’s research highlights the risk of the spread of infection during acupuncture. If you develop any signs of skin irritation or infection during the days, weeks, or months after undergoing acupuncture, consult your health care professional.

lljjww

可惜打不开，，，，，，，，，，，

登山者

中医治疗中面临的新问题，是中医走向世界必须面对和解决的。

冬季的雪松

为何下载不了呢？很想得到这份资料，针灸的感染控制问题值得关注。

乔-乔

回复 1# wjllulu


针灸的感染控制问题还没有引起足够的重视！至少在我们医院是这样，不知其他医院做的如何？请各位大侠介绍一下各自医院的情形吧！谢谢！

wjllulu

回复 2# lljjww

我又试了，可以打开的啊，只要您有影音风暴或FLASH就可以的，我是按右键打开，出现文件图标后再点 “ 打开”就有影音风暴出来了，等一会儿就播放了。希望您成功。谢谢关注。

XGJ197023

针灸针如何清洗呢？建议使用一次性的合适吗？

wjllulu

回复 8# XGJ197023


    目前很多医院都是使用一次性针灸针的，很方便，也不贵。谢谢关注

wjllulu

回复 7# celljack
With the increasing popularity of acupuncture, cases of infection spread by this treatment are also on the rise, according to an editorial published online ahead of print in the British Medical Journal.
     根据（网络抢先版？）英国医学杂志报道，与针灸相关的感染病例日益增加。
Here are some ways to minimize your risk of being infected during an acupuncture treatment:
     其实我们有许多方法减少您在针灸治疗中的感染风险。
•    Be sure your practitioner uses only disposable needles
     确定给您使用一次性针灸针。
•    Make sure your practitioner disinfects your skin before inserting needles
     确定医生在给您扎针前消毒（进针区）皮肤。
•    Be sure your practitioner uses only sterile equipment, such as cotton swabs, towels, or hot pack covers
      确定医生使用无菌物品，如棉签、敷巾和热敷等器具。
To date, more than 50 cases of bacterial infections causing pus-filled lesions have been reported to be associated with acupuncture, and experts from the University of Hong Kong believe this is just the tip of the iceberg. Usually, the infection is caused by failing to adequately disinfect the skin before inserting an acupuncture needle. These infections are usually limited to the skin and surrounding tissue, but rarely can spread, causing joint destruction, multi-organ failure, flesh eating disease, paralysis, and even death. Hepatitis B and antibiotic-resistant bacterial infections have been spread by acupuncture needles, and there is a theoretical risk that they could cause the spread of hepatitis C and even HIV.
      迄今已报道50例以上的细菌感染病例与针灸有关。香港大学的专家认为，这只是冰山上的一角。通常，化脓感染是由于进针前没有进行恰当的皮肤消毒，但感染常常局限于针眼处皮肤和周围组织，罕见扩散或发生关节故障、多器官损伤、组织深度溃疡、瘫痪或死亡等情况。
乙肝和耐药菌可以通过针灸针传播感染，同理，丙肝和艾滋病也有可通过本途径传播的风险。
    Recently, experts have discovered a new clinical entity they have called “acupuncture mycobacteriosis”. It is a skin infection caused by acupuncture that starts as a red lump at the site where the needle was inserted. Over weeks or months it can develop into a large pustule, abscess, or ulcer. So far, two large outbreaks of this condition are known to have affected more than 70 people.
      最近，专家发现一种新的临床情况，称为“针灸分支杆菌病”，它是由针灸引发的皮肤感染。开始是在针眼处出现一个小红结节，几个星期或几个月后发展为脓包、脓肿或溃疡。目前，有2个较大的暴发已经影响了70多人。
Today’s research highlights the risk of the spread of infection during acupuncture. If you develop any signs of skin irritation or infection during the days, weeks, or months after undergoing acupuncture, consult your health care professional.
      本研究主要强调针灸治疗中感染的传播风险，如果您在针灸治疗后几天/几周/几月的时间内发生皮肤感染或发炎的任何症状，请联系您的保健医生。

紫云英

速度很慢
慢慢等吧

红豆豆

谢谢老师的分享，辛苦了！鲜花{:5_619:}

yanhongquan

非常感谢，很好的，辛苦了，

lljjww

谢谢10楼的朋友，赞一个。

随风飘尘

以前针灸科主任用戊二醛浸泡，现在全改用一次性的，就减少了医院感染的机会了。

悠远

随风飘尘 发表于 2011-8-16 14:45

                               
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以前针灸科主任用戊二醛浸泡，现在全改用一次性的，就减少了医院感染的机会了。

我院针灸科未采用一次性针灸针，因相关领导考虑成本问题而未使用。目前的做法是：使用后的针灸针，由科室人员用酒精棉球擦拭后送供应室直接高压灭菌。看了这篇报道，觉得这样做存在着安全隐患，但如何去说服领导，请老师出谋划策！先在此感谢！另外请问针灸针价格如何？

凤凰飞翔

我们和海棠轻语老师的做法一样，针灸处皮肤用碘伏消毒。
感谢10楼老师，下载学习了。将此信息给康复科同志学习，提高警惕。

平安

我院使用后的针灸针，由科室人员用酒精棉球擦拭后送供应室直接高压灭菌。未按供应室规范清洗，存在着安全隐患，可是改变他们太难了！！老师们有好法子吗？