200858 2, 179-194

2008.5.1

56

27

179

2003-2006
1) 1) 1) 1) 1)
2) 3) 3) 4) 1)
1
2
3
4

1. 20032006
1)
2)
2.
1)
2)
3)

1) 4

20032006

55

2006 6 16

56

2007 6 8

52

2002

559-8611 1-26-16

Hitoshi Yamashita, Morinomiya University of Medical Sciences, 1-26-16 Nanko-Kita, Suminoe-Ku, Osaka 559-8611, Japan

180

28

1)

582

2003-2006

Webver. 4

2003 1 2006 12

2003

PubMed

54(1): 55-64, 2004

2007

38 50

44 2-35) 6 30,36-39) 1

1 35

16,18,19,30) 7

3 2,3,6) 6

2 10,13)

 29

2008.5.1

181

2003-2006

MRSA

73/4)

14/5)

58/
45/7)

55/8)

Staphylococcus aureus

65/9)
72/10)
40/11)

90

6)

32/12)
71/13)
35/14)
15)
78/16)
55/17)
37/18)
60/18)
46/18)
81/18)
54/18)
60/16)
53/16)
19)
19)
19)
71/20)
71/21)
60/16)

20
30
3

100

62/22)

70/23)

65/24)
19/25)

56/26
83/27)
32/28)

50/2)
59/3)

65/29)
30)
45/30)
35/31)
85/32)

32/33)
59/34)

Wells

36/35)

26

1
214

10

20

15

3Wells

182

30

582

2003-2006

20

78/36)

83/37)

73/38)

14/30)

83/30)
69/39)

2003-2006

2 1

10,13)

PubMed 2003 1

2006 12

MeSH Terms

11)

2)

13 5

"acupuncture an-

algesia/adverse effects" OR "acupuncture ther-

apy/adverse effects" OR "acupuncture analgesia/-

contraindications" OR "acupuncture therapy/con-

traindications"

OR

"acupuncture,

ear/adverse

effects" OR "acupuncture, ear/contraindications"

"moxibustion/ad

verse effects" OR "moxibustion/contraindications"

 31

2008.5.1

183

20032006

58
56
70

44

73

2003

Woo

Hong Kong

48

2004

Daivajna45)

UK

2004

55

2004

Gomez de la Spain
Torre46)
Saw47)
Malaysia

64
53

2004
2004

Studd48)
Vucicevic49)

Australia
Croatia

Pseudomonas
Bacteroides fragilis, E. Coli

64

2005

Bang50)

Korea

E..Coli

53
69

2006
2006

Chau51)
Simmons52)

USA
UK

2006

Seeley53)

USA

Staphylococcus aureus

33
7
32

2006

Song54)

Korea

Mycobacterium abscessus

2006

Tang55)

Canada

Mycobacterium abscessus

67
63
25

2003
2005
2003

Vassiou56)
Patrick57)
Cantan58)

Greece
USA
France

L 5

38
31
37

2004
2004
2005

Peuker59)
Germany
Saifeldeen60) UK
Cheng61)
Taiwan

31

43

2003
Ara40)
2003
Cho41)
2003
Kettaneh42)
2003

Lin43)

Spain
Korea
France
Australia

44)

Mycobacterium chelonae
Klebsiella pneumoniae

Antistreptolysin O
7 cm
Staphylococcus
aureus

40

32

74
36
49
42
27
30
68

2005
2005
2005
2005
2006
2006
2005

Eftekhar
Lee63)
Park64)
Uhm65)
Chauffe66)
Chen67)
Chang68)

Iran
Hong Kong
Korea
Korea
USA
Taiwan
Korea

Th 2-8

15 cm

68

2003

Ha69)

Korea

36

2004

Pigatto70)

Italy

hot needles

62)

88cm

2004
2005

Polawska
Campbell72)

Poland
UK

2005

Kung73)

Taiwan

2006

Bradbury

UK

MRI

2006

Usichenko75) Germany

30

72
63
50

78

71)

74)

184

32

582

36 3

16

14 +2

13 13 7 8

16

5
4
3
2

2
2
2

2
1
1

1
1
1

47) 52)

1
1

15 cm 68)

54) 55)

14

76)

894

443 49.677)

413

93.2 1

73.8

14.410.62.5

2002

121 78)

107 72 67.3

54,55) Song 54)

11 10.3

2008.5.1

33

185

4 3.7 2

57

93.2 92.5

6 11.5

10

24 46.2

20 38.5

WHO 76)

1
77)

78)

186

34

582

79) WHO 80) Clean

Technique81)

Needle

78)

78)

 35

2008.5.1

187

1978

1989

1982

B AIDS

1987

1991

188

36

582

1996

1998

11

18 7

82-84)

85,86)

87)

2008.5.1

37

189

86)

486)

16

11

188)
17 5

9 9
14

186)

17

16 16

1.64

0.86 kg 1.420.81 kg

100 mm

p<0.01

VAS 30
89)

288)
17

388)
17

26.813.5

286)
16 16

16

21.88.6 p
<0.05

1) , , , ,

, .

190

38

19982002

582

12) , , , ,

. .

. 2004; 54: 55-64.

2004; 54(3): 460.

13) Kasuda S, Morimura Y, Kudo R, Sageshima

2) .
(3). 2002; 61(11): 100-02.
3) , , , ,

N, Sanefuji N, Ishitani A, et al. A case of

sudden

death

due

to

bilateral

tension

pneumothorax after acupuncture. J Nara Med

Ass 2004; 55(6): 331-5.

, .

14) , .

, 2

. 2006;

1. 2003; 46(1): 56.

19(3): 42-4.

4) , , , ,

15) , , , ,

, .

MRSA

. 2004; 52

1. 2003; 54(4): 407-11.

5) , , , ,

(suppl): 11.
16) , , .

, .

1.

2003; 46(6): 1192.

. 2004; 63(5): 45-52.

6) , , , ,

17) , , , ,

, .

. .

. 2004; 18: 13-7.

2005; 18(1): 200.

7) , , , ,

18) , , , ,

, .

. 2004; 50(5): 369.

8) , , , .

. 2006;
45(3): 115.
9) .

. 2006; 26(6): 383-7.

19) , , , ,
. 3.
2003; 23(9): 603.
20) , , ,
.
2003; 23(4): 649-652.

1315

21) , , .

2003; 62(6): 151-4.

10) Iwadate K, Ito H, Katsumura S, Matsuyama N,

1 . 2003; 23(1): 55-60.

22) Sato

M,

Katsumoto

H,

Kawamura

K,

Sato K, Yonemura I et al. An autopsy case of

Sugiyama H, Takahashi T. Peronearl nerve

bilateral pneumothorax after acupuncture. Legal

palsy following acupuncture treatment. A case

Med. 2003; 5(3): 170-4.

report. J Bone Joint Surg Am. 2003; 85-A(5):

11) , , , ,
, .

916-8.
23) Hama Y, Tatsumi K. A migrated acupuncture

1. 2004;

needle in the medulla oblongata. Arch Neurol

10(1): 93-6.

2004; 61: 1608.

2008.5.1

39

24) , , , .

191

37) , , , .

1.

2004; 47(2):

. 2005; 2: 50-3.

384.
25) , , , .

1. 2005; 54(3): 508-10.

26) .

38) , , .
1 . 2006;
32(2): 95.
39) .

8. 2003; 62(11): 71-5.

. 2006; 56(2): 223.

27) Kakurai M, Demitsu T, Umemoto N, Ohtsuki
M, Nakagawa H. Activation of mast cells by

40) Ara M, De Santamaria CS, Zaballos P, Yus C,

silver particles in a patient with localized

Lezcano MA. Mycobacterium chelonae infec-

argyria due to imlantation of acupuncture nee-

tion with multiple cutaneous lesions after treat-

dles. Br J Dermatol 2003; 148: 823-42.

ment with acupuncture. Int J Dermatol 2003;

28) Inoue T, Katoh N, Kishimoto S. Erythema

nodosum induced by the synergism of acu-

42: 642-4.
41) Cho YP. Retroperitoneal abscess complicated

puncture therapy and flu-like infection. J

by acupuncture: case report. J Korean Med Sci

Dermatol 2005; 32: 493-6.

2003; 18: 756-7.

29) , .
. Derma 2002; 68: 54-56.
30) .
6
. 2003; 62(7): 61-4.

42) Kettaneh A, Ozan N, Stirnemann J, Fain O,

Thomas M. Facial erysipelas after receiving
acupuncture treatment. Scand J Infect Dis
2003; 35: 911-2.

31) .

43) Lin F, Choong P. Soft tissue abscess and

9
. 2003; 63(1): 124-8.

osteomyelitis secondary to acupuncture. ANZ J

32) , , .

Surg 2003; 73: 770.

44) Woo PC, Lau SK, Wong SS, Yuen KY.

Staphylococcus aureus subcutaneous abscess

. 2004; 63(3): 62-

complicating acupuncture: need for implemen-

66.

tation of proper infection control guidelines.

33) .

New Microbiol 2003; 26: 169-74.

45) Daivajna S, Jones A, O'Malley M, Mehdian H.

24

Unilateral septic arthritis of a lumbar facet

joint secondary to acupuncture treatment - a

2003; 63(3): 67-71.

34) . .

case report. Acupunct Med 2004; 22: 152-5.

46) Gomez de la Torre R, Hidalgo Garcia F, Milla

13
. 2004; 63(11): 53-

Crespo A, Fernandez Bustamante J. Cutaneous

8.

infection by Mycobacterium chelonae after

35) , , . Wells
. 2005; 47(5): 737-9.
36) , .

treatment with acupuncture. Med Clin (Barc)

2004; 122: 636.
47) Saw A, Kwan MK, Sengupta S. Necrotising

1 . 2003; 113(7):

fasciitis: a life-threatening complication of acu-

1166.

puncture in a patient with diabetes mellitus.

192

40

Singapore Med J 2004; 45: 180-2.

582

22: 40-3.

48) Studd RC, Stewart PJ. Intraabdominal abscess

60) Saifeldeen K, Evans M. Acupuncture associ-

after acupuncture. N Engl J Med 2004; 350:

ated pneumothorax. Emerg Med J 2004; 21:

1763.
49) Vucicevic Z, Aharma M, Miklic S, Ferencic Z.

398.
61) Cheng SP, Liu CL. Rectus sheath hematoma

Multiloculated pleural empyema following acu-

after acupuncture. J Emerg Med 2005; 29:

puncture. Infection 2004; 33: 297-8.

101-2.

50) Bang MS, Lim SH. Paraplegia caused by spi-

62) Eftekhar B, Ketabchi E, Ghodsi M, Esmaeeli

nal infection after acupuncture. Spinal Cord

B. Lumbar epidural hematoma due to lumbar

2005; 44: 258-9.

51) Chau N. Moxibustion burns, J Hosp Med
2006; 1: 367.
52) Simmons R. Acupuncture with significant infection, in a 'well' patient. Acupunct Med
2006; 24: 37-8.
53) SeeleyEJ, Chambers HF. Diabetic ketoacidosis

acupunctures. Neurol India 2005; 53: 245-6.

63) Lee WM, Leung HB, Wong WC. Iatrogenic
bilateral pneumothorax arising from acupuncture: a case report. J Orthop Surg (Hong
Kong) 2005; 13: 300-2.
64) Park JH, Shin HJ, Choo SJ, Song JK, Kim JJ.
Successful removal of migrated acupuncture

precipitated by Staphylococcus aureus abscess

needles in a patient with cardiac tamponade by

and bacteremia due to acupuncture: case report

means

of

intraoperative

transesophageal

and review of the literature. Clin Infect Dis

echocardiographic

2006; 43: e 6-8.

Cardiovasc Surg 2005; 130: 210-2.

assistance.

Thorac

54) Song JY, Sohn JW, Jeong HW, Cheong HJ,

65) Uhm MS, Kim YS, Suh SC, Kim I, Ryu SH,

Kim WJ, Kim MJ. An outbreak of post-

Lee JW, et al. Acute pancreatitis induced by

acupuncture cutaneous infection due to Myco-

traditional

bacterium abscessus. BMC Infect Dis 2006; 6:

Gastroenterol Hepatol 2005; 17: 675-7.

6.
55) Tang P, Walsh S, Murray C, Alterman C,
Varia M, Broukhanski G, et al. Outbreak of

acupuncture

therapy.

Eur

66) Chauffe RJ, Duskin AL. Pneumothorax secondary to acupuncture therapy. South Med J
2006; 99: 1297-9.

acupuncture-associated cutaneous Mycobacte-

67) Chen JC, Chen Y, Lin SM, Yang HJ, Su CF,

rium abscessus infections. J Cutan Med Surg

Tseng SH. Acute spinal epidural hematoma af-

2006; 10: 166-9.

ter acupuncture. J Trauma 2006; 60: 414-6.

56) Vassiou K, Keleks NL, Fezoulidis IV. Multiple

68) Chang SA, Kim YJ, Sohn DW, Park YB,

retained acupuncture needle fragments. Eur

Choi YS. Aortoduodenal fistula complicated by

Radiol 2003; 13: 1188-9.

acupuncture. Int J Cardiol 2005; 104: 241-2.

57) Patrick BS. Acupuncture complication - a case

69) Ha KY, Kim YH. Chronic inflammatory

report. J Miss State Med Assoc 2005; 46: 195-

granuloma mimics clinical manifestations of

7.
58) Cantan R, Milesi-Defrance N, Hardenberg K,
Vernet M, Messant I, Freysz M. Bilateral
pneumothrax and tamponade after acupuncture.
Presse Med 2003; 32: 311-2.
59) Peuker E. Case report of tension pneumothorax
related to acupuncture. Acupunct Med 2004;

lumbar spinal stenosis after acupuncgture: a

case report. Spine 2003; 28: E 217-E 220.
70) Pigatto PD, Guzzi G. Acupuncture needle
scars. Br J Dermatol 2004; 150: 364.
71) Polawska K, Skorek A, Stromkowski J. Calcification of the auricular cartilages-case report.
Otolaryngol Pol 2004; 58: 619-21.

72) Campbell

41

2008.5.1

A,

Macglashan

J.

Acupuncture-

induced galactorrhoea-a case report, Acupunct

Med 2005; 23: 146.
73) Kung YY, Chen FP, Hwang SJ, Hsieh JC, Lin

193

82) World Health OrganizationGuidelines on basic training and safety in acupuncture1999:

18

YY. Convulsive syncope: an unusual complica-

83) .

tion of acupuncture treatment in older patients.

15

J Altern Complement Med 2005; 11: 535-7.

74) Bradbury A, Botancor J, White A. Nystagmus
following acupuncture-a case report. Acupunct
Med 2006; 24: 33-4.
75) Usichenko TI, Dinse M, Pavlovic D, Lehmann

. 2000; 50(3): 533-40.

84) , ,

. 1 .
. 2007.
85) , , , ,

C. Hemorrhage after auricular acupuncture due

to postoperative dilutional thrombocytopenia.

Anesth Analg 2006; 103: 1333-4.

2003; 53(5): 646-57.

86) , , ,

76) World Health Organization. Guidelines on basic training and safety in acupuncture

, .
. 2004; 54(4):
627-35.

. 2000; 50(3): 505-25.

87) , , , ,

77) , , , ,

, .

. 2002; 61(11):

194-200.

. 2003; 53(5): 646-57.

78) , .

88) , .
, .
2004; 54(3): 446.

89) Satow A, Nakatani K, Taniguchi S. Perceptual

characteristics of electro-cutaneous pain esti-

. 2004; 54(5): 756-67.

mated by the 30 word list and visual analog

scale. Jpn Psychol Res. 1990; 32: 155-64.

79) .
AIDS . 19 ,
1987.
80) WHO (:).
(
2004.4.7). 2000; 50: 505-25.
81) .

. , ,
. .
1 . . . 2007: 38-46.

194

42

582

THE 55 th ANNUAL MEETINGOKAYAMA

Workshop

Ideas for Safer Acupuncture Practice (2)

Literature Review on Adverse Events (2003-2006) and
Debate on Wearing Sterilized Fingerstall or Glove
YAMASHITA Hitoshi1), UMEDA Takashi1), KATAI Shuichi1), ISHIZAKI Naoto1),
EGAWA Masato1), MINOWA Masahiro2), HATAKEYAMA Hironori3), FURUYA Eiji3),
HANDA Mikako4), MIYAMOTO Toshikazu1)
1) Committee for Safe Acupuncture, The Japan Society of Acupuncture and Moxibustion
2) Chiba Prefectural School for the Blind
3) Tokyo Therapeutic Institute, Kuretake College of Medical Arts & Sciences
4) Graduate School of Comprehensive Human Sciences, University of Tsukuba
Abstract
Continued from the previous year's theme of our workshop, we collected various information and ideas for
safer acupuncture practice. Subjects and presentations of the present workshop were as follows:
1. Literature review of papers on adverse events published between 2003 and 2006
1) Papers in domestic journals (by Ishizaki and Egawa)
2) Papers in foreign journals (by Yamashita and Umeda)
2. Debate on wearing sterilized fingerstall or glove
1) Present status of the use of fingerstall in acupuncture practice (by Katai and Minowa)
2) Practical side of clinical education of acupuncture using fingerstall (by Hatakeyama and Furuya)
3) Problem of using individual fingerstalls in acupuncture practice (by Handa and Miyamoto)
We will continue to provide information and discuss solutions in order to reach a common understanding and
specific methods for safer acupuncture practice.
Zen Nippon Shinkyu Gakkai Zasshi (Journal of the Japan Society of Acupuncture and Moxibustion: JJSAM).
2008; 58(2): 179-194.
Key words: acupuncture, safety, adverse event, literature review, fingerstall, glove, infection control, clinical
education