PMID- 23573135 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130704 LR - 20240222 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2013 DP - 2013 TI - Adverse events of acupuncture: a systematic review of case reports. PG - 581203 LID - 10.1155/2013/581203 [doi] LID - 581203 AB - Acupuncture, moxibustion, and cupping, important in traditional Eastern medicine, are increasingly used in the West. Their widening acceptance demands continual safety assessment. This review, a sequel to one our team published 10 years ago, is an evaluation of the frequency and severity of adverse events (AEs) reported for acupuncture, moxibustion, and cupping between 2000 and 2011. Relevant English-language reports in six databases were identified and assessed by two reviewers. During this 12-year period, 117 reports of 308 AEs from 25 countries and regions were associated with acupuncture (294 cases), moxibustion (4 cases), or cupping (10 cases). Country of occurrence, patient's sex and age, and outcome were extracted. Infections, mycobacterial, staphylococcal, and others, were the main complication of acupuncture. In the previous review, we found the main source of infection to be hepatitis, caused by reusable needles. In this review, we found the majority of infections to be bacterial, caused by skin contact at acupoint sites; we found no cases of hepatitis. Although the route of infection had changed, infections were still the major complication of acupuncture. Clearly, guidelines such as Clean Needle Technique must be followed in order to minimize acupuncture AEs. FAU - Xu, Shifen AU - Xu S AD - Acupuncture Department, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai 200071, China ; Center for Integrative Medicine, School of Medicine, University of Maryland, East Hall, 520 W. Lombard Street, Baltimore, MD 21201, USA. FAU - Wang, Lizhen AU - Wang L FAU - Cooper, Emily AU - Cooper E FAU - Zhang, Ming AU - Zhang M FAU - Manheimer, Eric AU - Manheimer E FAU - Berman, Brian AU - Berman B FAU - Shen, Xueyong AU - Shen X FAU - Lao, Lixing AU - Lao L LA - eng GR - R24 AT001293/AT/NCCIH NIH HHS/United States PT - Journal Article DEP - 20130320 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC3616356 EDAT- 2013/04/11 06:00 MHDA- 2013/04/11 06:01 PMCR- 2013/03/20 CRDT- 2013/04/11 06:00 PHST- 2012/12/23 00:00 [received] PHST- 2013/02/08 00:00 [accepted] PHST- 2013/04/11 06:00 [entrez] PHST- 2013/04/11 06:00 [pubmed] PHST- 2013/04/11 06:01 [medline] PHST- 2013/03/20 00:00 [pmc-release] AID - 10.1155/2013/581203 [doi] PST - ppublish SO - Evid Based Complement Alternat Med. 2013;2013:581203. doi: 10.1155/2013/581203. Epub 2013 Mar 20.