Infectious Adverse Events Following Acupuncture: Clinical Progress and Microbiological Etiology
| Autor: | Won Young Kim, Hak Jin Lee, Youn-Jung Kim, Sung-Han Kim |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Staphylococcus aureus medicine.medical_specialty Complications Acupuncture Therapy law.invention Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine law Internal medicine medicine Acupuncture Humans Fasciitis Necrotizing 030212 general & internal medicine Adverse effect Aged Retrospective Studies Bacteria Septic shock business.industry Cellulitis Osteomyelitis Retrospective cohort study General Medicine Emergency department Infectious Diseases Microbiology & Parasitology Length of Stay Middle Aged medicine.disease Shock Septic Intensive care unit Intensive Care Units Etiology Original Article Female Infection Emergency Service Hospital business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Korean Medical Science |
| ISSN: | 1598-6357 1011-8934 |
| DOI: | 10.3346/jkms.2018.33.e164 |
| Popis: | 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. Graphical Abstract |
| Databáze: | OpenAIRE |
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