PMID- 29892207
OWN - NLM
STAT- MEDLINE
DCOM- 20181003
LR  - 20220317
IS  - 1598-6357 (Electronic)
IS  - 1011-8934 (Print)
IS  - 1011-8934 (Linking)
VI  - 33
IP  - 24
DP  - 2018 Jun 11
TI  - Infectious Adverse Events Following Acupuncture: Clinical Progress and 
      Microbiological Etiology.
PG  - e164
LID - 10.3346/jkms.2018.33.e164 [doi]
LID - e164
AB  - BACKGROUND: We investigated the clinical progress and bacteriological 
      characteristics of infectious adverse events (AEs) following acupuncture and 
      compared patient characteristics between serious and non-serious outcome groups. 
      METHODS: A retrospective observational study was conducted in 1,174 patients with 
      infectious complications associated with acupuncture at the emergency department 
      (ED) in a tertiary hospital in Korea between 2010 and 2014. Serious outcome was 
      defined as development of septic shock, admission to intensive care unit (ICU) or 
      attaining permanent morbidity. RESULTS: Forty-eight patients had certain 
      causality and cellulitis, necrotizing fasciitis and osteomyelitis were common in 
      order. Among them, 9 patients (18.8%) were categorized into serious outcome 
      group, and they showed devastating outcomes such as septic shock (n = 2), ICU 
      admission (n = 4), and permanent sequelae (n = 5). The serious group had delayed 
      admission to the ED after acupuncture (30.0 [4.0-55.0] vs. 3.0 [1.0-10.0] days, P 
      = 0.023). Methicillin-sensitive Staphylococcus aureus was the most frequently 
      identified microorganism. The patients in the serious group required longer 
      treatment duration (139.0 [49.0-183.5] vs. 14.0 [7.0-34.0] days, P < 0.001) as 
      well as more operation with local (44.4% vs. 10.3%, P = 0.031) or general 
      anaesthesia (33.3% vs. 2.6%, P = 0.017). CONCLUSION: The infectious AEs after 
      acupuncture may cause serious outcomes. Patients and primary physicians should be 
      aware of the risk of infectious complications and make efforts to prevent them.
FAU - Kim, Youn-Jung
AU  - Kim YJ
AUID- ORCID: 0000-0003-1385-5836
AD  - Department of Emergency Medicine, University of Ulsan College of Medicine, Asan 
      Medical Center, Seoul, Korea.
FAU - Kim, Sung-Han
AU  - Kim SH
AUID- ORCID: 0000-0002-6596-8253
AD  - Department of Infectious Diseases, University of Ulsan College of Medicine, Asan 
      Medical Center, Seoul, Korea.
FAU - Lee, Hak Jin
AU  - Lee HJ
AUID- ORCID: 0000-0001-6639-4944
AD  - Department of Emergency Medicine, University of Ulsan College of Medicine, Asan 
      Medical Center, Seoul, Korea.
FAU - Kim, Won Young
AU  - Kim WY
AUID- ORCID: 0000-0002-6904-5966
AD  - Department of Emergency Medicine, University of Ulsan College of Medicine, Asan 
      Medical Center, Seoul, Korea.
LA  - eng
PT  - Journal Article
DEP - 20180509
PL  - Korea (South)
TA  - J Korean Med Sci
JT  - Journal of Korean medical science
JID - 8703518
SB  - IM
MH  - Acupuncture Therapy/*adverse effects
MH  - Aged
MH  - Bacteria/isolation & purification
MH  - Cellulitis/*etiology/microbiology
MH  - Emergency Service, Hospital
MH  - Fasciitis, Necrotizing/*etiology/microbiology
MH  - Female
MH  - Humans
MH  - Intensive Care Units
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Osteomyelitis/*etiology/microbiology
MH  - Retrospective Studies
MH  - Shock, Septic/*etiology/microbiology
MH  - Staphylococcus aureus/isolation & purification
MH  - Tertiary Care Centers
PMC - PMC5990445
OTO - NOTNLM
OT  - Acupuncture
OT  - Complications
OT  - Infection
COIS- Disclosure: The authors have no potential conflicts of interest to disclose.
EDAT- 2018/06/13 06:00
MHDA- 2018/10/04 06:00
PMCR- 2018/06/11
CRDT- 2018/06/13 06:00
PHST- 2018/01/08 00:00 [received]
PHST- 2018/04/13 00:00 [accepted]
PHST- 2018/06/13 06:00 [entrez]
PHST- 2018/06/13 06:00 [pubmed]
PHST- 2018/10/04 06:00 [medline]
PHST- 2018/06/11 00:00 [pmc-release]
AID - 10.3346/jkms.2018.33.e164 [doi]
PST - epublish
SO  - J Korean Med Sci. 2018 May 9;33(24):e164. doi: 10.3346/jkms.2018.33.e164. 
      eCollection 2018 Jun 11.