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Updated: Sep 28, 2025

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Published on: September 4, 2016
Health risks for body pierced community: a systematic review
A Sindoni1, F Valeriani2, C Protano1
1Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.
Body piercing is increasingly common, but associated with numerous health risks including infections and skin conditions. Raising awareness and improving piercer education are crucial for prevention interventions.
Area of Science:
- Dermatology
- Infectious Diseases
- Public Health
Background:
- Body piercing involves inserting jewelry through created openings in various body areas.
- Its prevalence has significantly increased in recent decades across the general population.
Purpose of the Study:
- To systematically review the literature on body piercing complications.
- To enhance awareness regarding potential health risks associated with body piercings.
- To inform the development of effective prevention strategies.
Main Methods:
- A systematic review was conducted adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Searches were performed in PubMed, Scopus, and Web of Science databases up to April 2020.
- Included studies reported proven associations between piercings and health risks, with quality assessment.
Main Results:
- Out of 4748 initial studies, 84 articles were included in the review.
- Microbiological complications included local and distant infections (e.g., mastitis, endocarditis, hepatitis, HIV, brain abscess, toxic shock syndrome).
- Other reported complications encompassed bleeding, gingival recession, dental injuries, various dermatitis types, keloids, fibromas, and basal cell carcinoma.
Conclusions:
- Health authorities should launch educational campaigns to inform the public about piercing-related health risks.
- Professional training for piercers varies globally and often lacks comprehensive awareness of adverse effects.
- Periodic educational upgrades for piercers are recommended to improve safety standards.
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