Infection control-related disciplinary actions in acupuncture

Acupuncture, a traditional Chinese therapy involving needle insertion at specific points, is a treatment that is used by millions of people in the US each year and is increasingly integrated into conventional healthcare settings. While generally considered safe, viral and bacterial infections linked to acupuncture have been reported, often due to lapses in infection control practices. This study reviewed publicly available disciplinary records from US state acupuncture boards to identify infection control-related variances. Seven states reported 28 disciplinary cases between 1997 and 2024, with a total of 44 variances that were categorized into eight groups. Improper sharps disposal was the most frequent issue and often co-occurred with other variances, suggesting it may indicate broader infection control deficiencies. Although such cases were uncommon, the findings underscore the need for consistent enforcement of infection prevention standards and improved patient education to recognize and question unsafe practices. Patients who have adverse events or observe unsafe practices should be empowered to seek treatment and report their experience to their state licensing board or the National Certification Commission for Acupuncture and Oriental Medicine.