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[Inoculation hepatitis caused by acupuncture. Clinical cases studied over a 9-year period]
Abstract:
In the period between 1976 and 1983, at a hospital in the south of Germany, 17 cases of hepatitis (16 hepatitis B, 1 NANB) were probably, and 4 further cases possibly, traceable to prior acupuncture performed by a non-medical practitioner. In recent years, the incidence of hepatitis B has, in general, decreased, probably through the elimination of post-infusion type B hepatitis. Acupuncture hepatitis has now attained such a degree of importance that in any case of type B or NANB hepatitis, the patient should be questioned as to possible previous acupuncture treatment. Imperfect disinfection and sterilization in the offices of those practising acupuncture must be disclosed and remedied.
Insights
Acupuncture may transmit hepatitis B and NANB, with 17 probable and 4 possible cases linked to non-medical practitioners in Germany. Patients with hepatitis should be screened for prior acupuncture exposure due to inadequate sterilization practices.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health
Background:
- The incidence of hepatitis B has declined due to improved post-infusion safety measures.
- Hepatitis B and Non-A, Non-B (NANB) hepatitis remain significant public health concerns.
Observation:
- A German hospital identified 17 probable and 4 possible cases of hepatitis (16 hepatitis B, 1 NANB) between 1976 and 1983 linked to acupuncture.
- These cases were likely transmitted by non-medical practitioners performing acupuncture procedures.
Findings:
- Acupuncture has emerged as a notable source of hepatitis B and NANB transmission.
- Inadequate disinfection and sterilization practices in acupuncture settings are implicated in disease spread.
Implications:
- Healthcare providers should inquire about acupuncture history in all hepatitis B and NANB cases.
- Stricter regulations and enforcement regarding disinfection and sterilization in acupuncture practices are necessary to prevent further transmission.