Piercing and tattooing in patients with congenital heart disease: patient and physician perspectives

Cetta, Frank; Graham, Lynn C; Lichtenberg, Robert; Warnes, Carole A.

doi:10.1016/s1054-139x(98)00089-5

Cited by 53 publications

(31 citation statements)

References 2 publications

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“…58 One small study of children and adults with congenital heart disease found no cases of endocarditis after ear piercing, although only 6% of the patients received prophylactic antibiotic treatment. 93 There have been recent reports of bacterial endocarditis after nipple and navel piercings in patients with surgically corrected congenital heart disease. It is important for physicians to know about planned piercings so they can consider antibiotic prophylaxis in patients with moderate-or high-risk cardiac conditions, 94 -96 although the American Heart Association guidelines on endocarditis prophylaxis do not specifically mention the need for antibiotic agents in people contemplating ear or body piercings.…”

Section: From the American Academy Of Pediatricsmentioning

confidence: 99%

Adolescent and Young Adult Tattooing, Piercing, and Scarification

Breuner

Levine

2017

Pediatrics

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THE COMMITTEE ON ADOLESCENCE Tattoos, piercing, and scarification are now commonplace among adolescents and young adults. This first clinical report from the American Academy of Pediatrics on voluntary body modification will review the methods used to perform the modifications. Complications resulting from body modification methods, although not common, are discussed to provide the pediatrician with management information. Body modification will be contrasted with nonsuicidal self-injury. When available, information also is presented on societal perceptions of body modification. abstract Tattoos, piercings, and scarification, also known as "body modifications, " are commonly obtained by adolescents and young adults. Previous reports on those who obtain tattoos, piercings, and scarification have focused mainly on high-risk populations, including at-risk adolescents. 1 Tattooing and piercing of various body parts no longer is a high-riskpopulation phenomenon, as evidenced by growing numbers of adults and adolescents not considered at risk who have tattoos and multiple ear and body piercings. The Pew Research Center reports that in 2010, 38% of 18 to 29 year olds had at least 1 tattoo, and 23% had piercings in locations other than an earlobe. 2 Of those with tattoos, 72% were covered and not visible. 2 Scarification is the practice of intentionally irritating the skin to cause a permanent pattern of scar tissue; data are not currently available on the prevalence of scarification in the United States.Although body modifications have become a mainstream trend, they still may be associated with medical complications and, among adolescents, may also co-occur with high-risk behaviors. This first clinical report from the American Academy of Pediatrics on tattooing, piercing, and scarification discusses the history of these methods of body modification, educates the reader on methods used, reports on trends in associated adolescent and young adult risk behaviors, differentiates between nonsuicidal self-injury (NSSI) and body modifications, and educates the reader about how to anticipate and prevent potential medical complications. The report analyzes the literature about societal acceptance of people with body modifications and perceptions that

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Section: From the American Academy Of Pediatricsmentioning

confidence: 99%

Adolescent and Young Adult Tattooing, Piercing, and Scarification

Breuner

Levine

2017

Pediatrics

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“…Nonetheless, several recent studies have shown that understanding of illness by children, adolescents, and adults with congenital heart disease remains unsatisfactory. [3][4][5][6][7][8][9][10][11][12][13] The paediatric cardiac patients may have an entirely wrong concept of their disease, [7][8][9][10] while the majority of adult patients have a poor understanding of symptoms suggestive of cardiac deterioration, risk factors of endocarditis, the impact of smoking and alcohol on heart disease, and the hereditary nature of their cardiac conditions. [11][12][13] Given the important role of parents in imparting knowledge of chronic illness to their child, the disappointing findings from previous studies may perhaps reflect inadequacies of parental knowledge.…”

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confidence: 99%

Parents' understanding of their child's congenital heart disease

Cheuk

Wong²,

Choi³

et al. 2004

Heart

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Objectives: To assess parents' understanding of their child's congenital heart disease in various knowledge domains and to identify significant determinants of parental knowledge. Design: Cross sectional questionnaire survey Setting: Tertiary paediatric cardiac centre. Patients: 156 parents of children with relatively simple congenital heart defects were recruited from the outpatient clinic of a tertiary cardiac centre over a three month period. The questionnaire comprised 10 items of knowledge under three domains: nature of heart disease and its treatment; impact of heart disease on exercise capacity; and infective endocarditis and its prevention. The frequency distribution of the parents' knowledge in the different domains was determined. Univariate analyses and logistic regression were performed to identify significant determinants of knowledge in selected items. Results: While 59% of parents correctly named their child's congenital heart disease, only 28.8% correctly indicated the heart lesion(s) diagrammatically. However, more than 80% of parents were aware of the indications and aims of previous surgical and transcatheter interventions. About half of the parents were aware of possible aetiologies and of the hereditary nature and symptoms attributable to underlying heart disease. Disappointingly, of the 56 parents whose children were taking cardiac medications, only 25 (44.6%) and 4 (7.1%) knew correctly the functions and important side effects of the medications, respectively. With regard to exercise capacity, 59% of parents indicated its level appropriate for the heart lesion. While 26.9% of parents had heard of the term

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“…This is despite there being at least four case reports in the medical literature documenting episodes of infective endocarditis following tongue piercing [9][10][11][12] and one reported death in the UK following a lip piercing. 23 A recent survey of US cardiologists 26 revealed that most recommend that patients with congenital heart disease avoid body piercings and that antibiotic cover should be provided prior to such a procedure. However, not all cardiac patients, particularly younger patients, may be aware that they are at risk.…”

Section: Discussionmentioning

confidence: 99%