Acupuncture needles as a cause of bacterial endocarditis.

Jefferys, David; Smith, Stafford B.; Brennand-Roper, D. A.; Curry, Philip

doi:10.1136/bmj.287.6388.326

Cited by 40 publications

(14 citation statements)

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“…Es gibt 2 Fallbeschreibungen, in denen eine Akupunkturbehandlung als Ursache einer Staphylokokkensepsis diskutiert wird [52,53], eine davon mit tödlichem Ausgang [53]. In 4 weiteren Berichten kommt die Akupunktur als Ursache einer Endokarditis in Betracht [54][55][56][57], teilweise ebenfalls mit tödlichem Ausgang [57]. Verschiedene Autoren diskutieren oder empfehlen sogar eine Antibiotikaprophylaxe, ähnlich wie bei zahnärzt-lichen Eingriffen [54][55][56][57][58].…”

Section: Acupuncture: Complications Contraindications and Informed Cunclassified

“…In 4 weiteren Berichten kommt die Akupunktur als Ursache einer Endokarditis in Betracht [54][55][56][57], teilweise ebenfalls mit tödlichem Ausgang [57]. Verschiedene Autoren diskutieren oder empfehlen sogar eine Antibiotikaprophylaxe, ähnlich wie bei zahnärzt-lichen Eingriffen [54][55][56][57][58]. Ob man unter diesen Bedingungen aber dem Patienten gerecht wird, der eine «sanfte» und wenig aggressive Behandlungsform sucht, darf bezweifelt werden.…”

Section: Acupuncture: Complications Contraindications and Informed Cunclassified

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Akupunktur: Komplikationen, Kontraindikationen und Patientenaufklärung

Groot

2001

Complement Med Res

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Acupuncture: Complications, Contraindications and Informed Consent With the widespread usage of acupuncture, the number of reports about complications of this treatment increases. Harmless disturbances are common and include minor bleedings or haematomas, pain during insertion or after withdrawal of the needle, and skin symptoms. In every second acupuncture treatment, at least one of these complications occurs. Orthostatic dysregulations are relatively rare and can be observed in only 1% of patients. They can be prevented by treating the patient in a lying position, especially in the first treatment session. Stab injuries of internal organs most often affect the lungs, resulting in a pneumothorax. At least 23 cases have been published, 2 of them with fatal consequences. An inquiry of Norwegian doctors even suggests that until 1995 in Norway alone 250 cases of pneumothorax after acupuncture occurred. Stab injuries of other internal organs or the CNS are only described in case reports, but some of them had fatal consequences. Stab injuries of peripheral nerves or large vessels and systemic bacterial infections like sepsis or endocarditis are very rare but serious consequences have been described. The transmission of viral infections due to insufficiently sterilised acupuncture needles loses more and more importance. The incidence of local infections can possibly be influenced, but even in Europe this complication still occurs frequently. The overview of published complications leads to the contraindications of acupuncture. Disturbances of coagulation, immune deficiency, abnormal heart valves or prosthetic valves are the most important ones to name. Suggestions for obtaining informed consent may be helpful while performing clinical trials.

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Section: Acupuncture: Complications Contraindications and Informed Cunclassified

Akupunktur: Komplikationen, Kontraindikationen und Patientenaufklärung

Groot

2001

Complement Med Res

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“…In the past four decades, a total of 52 isolated cases of pyogenic bacterial infections claimed to be associated with acupuncture treatment were reported in the English literature (Baltimore & Moloy, 1976;Izatt & Fairman, 1977;Jones & Cross, 1980;Pierik, 1982;Hadden & Swanson, 1982;Jefferys et al, 1983; R.J. Lee & Mcllwain, 1985;Davis & Powell, 1985;Warwick-Brown & Richards, 1986;Gillbert, 1987;Scheel et al, 1992;Spleman et al, 1993;Garcia & Venkataramani, 1994;Kirschenbaum & Rizzo, 1997;C.Y. Chen et al, 1997;Matsumura et al, 1998;Yazawa et al, 1998;Lau et al, 1998;Ha et al, 1999;Origuchi et al, 2000;Ishibe et al, 2001;Nambiar & Ratnatunga, 2001;Laing et al, 2002;Uchino et al, 2002; S.Y.…”

Section: Acupuncture Transmitted Pyogenic Bacterial Infectionsmentioning

confidence: 99%

Acupuncture Transmitted Infections

CY¹,

WC²,

KP³

2011

Acupuncture - Clinical Practice, Particular Techniques and Special Issues

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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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Acupuncture needles as a cause of bacterial endocarditis.

Cited by 40 publications

References 5 publications

Akupunktur: Komplikationen, Kontraindikationen und Patientenaufklärung

Akupunktur: Komplikationen, Kontraindikationen und Patientenaufklärung

Acupuncture Transmitted Infections

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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