Although acupuncture has become well-known as a worldwide complementary medicine treatment for chronic illnesses and pain, concerns about infection risks from inadequate sterilization still exist [1]. There have been documented cases of acupuncture-induced hepatitis, bacterial endocarditis, staphylococcal septicemia, and HIV transmission [1]. However, despite these dangers, there are no universally accepted standards for acupuncture sterilization and hygiene, which leads to different applications of safety procedures in various contexts [1]. To address these gaps and develop evidence-based recommendations for infection control in acupuncture, a comprehensive perspective is required.
Since acupuncture necessitates repeated skin penetration, sterile techniques could make or break patient safety[1]. Some places offer a choice between reusable needles that rely on different sterilization techniques or single-use, disposable needles. Certain nations have reported that there is a lack of regulatory oversight and a low level of awareness among practitioners, which contributes to avoidable infections[1]. In clinical acupuncture settings, the effectiveness of currently used infectious techniques, such as alcohol swabs and autoclaving, has not been thoroughly researched.
The establishment of standardized infection control guidelines will guarantee patient safety, regulatory compliance, and enhance acupuncture's legitimacy globally. Having such guidelines will reduce the risk of infection while maintaining the availability of acupuncture therapy worldwide.
Background: The course of infections is considerably worse when they are associated with acupuncture. They are rare, but they could be harmful. Since the majority of research in this field focuses on case reporting, epidemiological studies are required to fully comprehend the incidence of infection outcomes and other potential risk factors.
Kocyigit, B. F., Sagtaganov, Z., Yessirkepov, M., & Akyol, A. (2023). Assessment of complementary and alternative medicine methods in the management of ankylosing spondylitis, rheumatoid arthritis, and fibromyalgia syndrome. Rheumatology International, 43, 617–625. https://doi.org/10.1007/s00296-022-05267-1
Kocyigit, B. F., Sagtaganov, Z., & Yessirkepov, M. (2023). The effectiveness of yoga as a form of exercise in the management of rheumatic diseases. Rheumatology International, 43, 795–801. https://doi.org/10.1007/s00296-023-05291-9
Wang, M., Liu, W., Ge, J., & Liu, S. (2023). The immunomodulatory mechanisms for acupuncture practice. Frontiers in Immunology, 14, 1147718. https://doi.org/10.3389/fimmu.2023.1147718
Background: A wide range of sterilization practices exist internationally for acupuncture needles, and within this research, there lies the proposal for single use against reusable needles. Comparative research in effective sterilization methods is therefore required.
Greco, C. M., Nakajima, C., & Manzi, S. (2013). Updated review of complementary and alternative medicine treatments for systemic lupus erythematosus. Current Rheumatology Reports, 15, 378. https://doi.org/10.1007/s11926-013-0378-3
Wang, H., Wang, B., Huang, J., et al. (2023). Efficacy and safety of acupuncture therapy combined with conventional pharmacotherapy in the treatment of systemic lupus erythematosus: A systematic review and meta-analysis. Medicine (Baltimore), 102, e35418. https://doi.org/10.1097/MD.0000000000035418
Yatham, P., Chintamaneni, S., & Stumbar, S. (2023). Lessons from India: A narrative review of integrating yoga within the US healthcare system. Cureus, 15, e43466. https://doi.org/10.7759/cureus.43466
Background: As of right now, acupuncture hygiene is not governed by a single set of international standards, and national laws are enforced differently. Research needs to be focused on identifying regulatory gaps and the effectiveness of policies.
Gupta, S., Gautam, S., Kumar, U., et al. (2022). Potential role of yoga intervention in the management of chronic non-malignant pain. Evidence-Based Complementary and Alternative Medicine, 2022, 5448671. https://doi.org/10.1155/2022/5448671
Moonaz, S. H., Bingham, C. O. III, Wissow, L., & Bartlett, S. J. (2015). Yoga in sedentary adults with arthritis: Effects of a randomized controlled pragmatic trial. Journal of Rheumatology, 42, 1194–1202. https://doi.org/10.3899/jrheum.141129
Akyuz, G., & Kenis-Coskun, O. (2018). The efficacy of tai chi and yoga in rheumatoid arthritis and spondyloarthropathies: A narrative biomedical review. Rheumatology International, 38, 321–330. https://doi.org/10.1007/s00296-017-3867-2
Bringing the necessary changes to the prevalent applications of alternative therapy both in policies and practices can lead to a flawless application. Rooting from the necessity to address existing gaps, these research topics provide actionable plans to eradicate the potential dangers and flaws in existing practices.
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