Stryker W S, Gunn R A, Francis D P
J Fam Pract. 1986 Feb;22(2):155-8.
In the period February to May 1980, acute hepatitis B occurred in six patients who had received acupuncture at a chiropractic clinic. Of persons attending the clinic (October 1979 to April 1980), hepatitis B occurred more frequently among those who had received acupuncture (6 of 103) than among those who had not (0 of 408; P less than .0001). Hepatitis patients had received acupuncture during two exposure periods: November 27-28, 1979, and February 19-20, 1980. During these periods the clinic reused acupuncture needles after immersing them overnight in a 1:750 solution of benzalkonium chloride. The sequence of acupuncture sessions suggests that hepatitis B virus remained infectious on the acupuncture needles for 20 to 27 hours despite this procedure. It is recommended that only either disposable needles or reuseable needles that have been physically cleaned and autoclaved after each use be used in acupuncture procedures.
1980年2月至5月期间，6名在一家按摩诊所接受针灸治疗的患者发生了急性乙型肝炎。在该诊所就诊的人员中（1979年10月至1980年4月），接受过针灸治疗的人患乙型肝炎的频率（103人中有6人）高于未接受过针灸治疗的人（408人中有0人；P<0.0001）。肝炎患者在两个暴露期接受了针灸治疗：1979年11月27日至28日，以及1980年2月19日至20日。在此期间，诊所将针灸针在1:750的苯扎氯铵溶液中浸泡过夜后重复使用。针灸疗程的顺序表明，尽管经过此程序，乙型肝炎病毒在针灸针上仍具有传染性长达20至27小时。建议在针灸程序中仅使用一次性针或每次使用后经过物理清洁和高压灭菌的可重复使用针。
