Kim Tae-Hun, Kang Jung Won, Park Wan-Soo
Korean Medicine Clinical Trial Center, Korean Medicine Hospital, Kyung Hee University, Seoul 02447, Republic of Korea.
Department of Acupuncture & Moxibustion, College of Korean Medicine, Kyung Hee University, Seoul 02447, Republic of Korea.
Evid Based Complement Alternat Med. 2015;2015:273409. doi: 10.1155/2015/273409. Epub 2015 Nov 3.
Objective. Acupuncture is generally accepted as a safe intervention when it is administered in appropriate clinical setting by well-educated and experienced practitioners. In this study, we reviewed observational studies on adverse events (AEs) or complications relevant to acupuncture practice in Korean literature for assessing their reporting quality and suggested recommendations for future ones on acupuncture-related infections. Method. Electronic databases including Medline, Embase, Cochrane library, Korean studies Information Service System, DBpia, National Digital Science Library, and Korean National Assembly Library were searched until May 2015. Combination of keywords including "acupuncture" and "infection" were used for searching databases. Result. A total of 23 studies from 2,739 literature articles were identified from electronic database searching until May 2015. From this review, we found that most case studies did not report enough information for judging causality between acupuncture and the AEs (or complications) as well as appropriateness of the acupuncture practice. In addition, acupuncture experts rarely participated in the reporting of these AEs (or complications). Conclusion. Based on these limitations, we suggest a tentative recommendation for future case studies on acupuncture-related infection. We hope that this recommendation would contribute to the improvement of the reporting quality of acupuncture-related AEs (or complications) in the future.
目的。当由受过良好教育且经验丰富的从业者在适当的临床环境中进行针刺治疗时，针刺疗法通常被认为是一种安全的干预措施。在本研究中，我们回顾了韩国文献中与针刺实践相关的不良事件（AE）或并发症的观察性研究，以评估其报告质量，并针对未来与针刺相关感染的研究提出建议。方法。检索了包括Medline、Embase、Cochrane图书馆、韩国研究信息服务系统、DBpia、国家数字科学图书馆和韩国国会图书馆在内的电子数据库，检索截至2015年5月。使用包括“针刺”和“感染”在内的关键词组合来检索数据库。结果。截至2015年5月，通过电子数据库检索从2739篇文献文章中确定了23项研究。通过本次综述，我们发现大多数案例研究没有报告足够的信息来判断针刺与不良事件（或并发症）之间的因果关系以及针刺实践的适当性。此外，针刺专家很少参与这些不良事件（或并发症）的报告。结论。基于这些局限性，我们对未来与针刺相关感染的案例研究提出初步建议。我们希望这一建议将有助于未来提高与针刺相关不良事件（或并发症）的报告质量。
