Is there a risk of infection from acupuncture needles?
Hello Doctor: I would like to ask, my father is a carrier of hepatitis B and also has issues with antibiotic-resistant bacteria.
If on the evening of the 15th, he had acupuncture and the needle fell on a chair, and then on the 16th, I accidentally pricked myself on the chair but did not bleed and cannot find a wound, am I at risk of contracting the hepatitis B virus or the antibiotic-resistant bacteria? Thank you.
Xiao Lu, 20~29 year old female. Ask Date: 2021/07/18
Dr. Xiao Yongxun reply Family Medicine
Dear Mr.
Hsiao-Lü:
1.
Since 1985, all infants and young children in our country have been vaccinated against hepatitis B, unless there are special circumstances.
Therefore, the likelihood of you contracting hepatitis B from your father is extremely low.
2.
Regarding accidental needling during acupuncture, unless the needle penetrates the skin deeply enough and there is a sufficient quantity of viruses or bacteria, the chance of infection is quite low.
Therefore, please monitor the areas that may have been needled for any signs of redness, swelling, heat, or pain.
If you notice any of these inflammatory responses, please seek treatment promptly at an infectious disease department or the emergency room.
3.
Of course, if you have any concerns, please discuss them in detail with your family physician or visit the infectious disease outpatient clinic directly.
Reply Date: 2021/07/18
More Info
When it comes to the risk of infection from acupuncture needles, particularly in the context of your question regarding potential exposure to Hepatitis B virus (HBV) and antibiotic-resistant bacteria, there are several important factors to consider.
Firstly, Hepatitis B is a virus that is primarily transmitted through blood and bodily fluids. The virus can survive outside the human body for a limited time, but its viability decreases significantly after exposure to air and environmental conditions. In general, HBV can remain infectious on surfaces for up to seven days, but this is highly dependent on the conditions of the environment. If the acupuncture needle that was used on your father was contaminated with HBV and subsequently fell onto a chair, the risk of transmission to you would be low, especially if there was no visible blood or fluid present when you were pricked by the needle. Additionally, since you mentioned that there was no bleeding and you could not find a wound, this further reduces the likelihood of any virus entering your bloodstream.
Regarding antibiotic-resistant bacteria, these pathogens can also be a concern in medical settings, especially if proper sterilization protocols are not followed. However, the transmission of such bacteria typically requires direct contact with contaminated surfaces or fluids. If the needle was not visibly contaminated with any bodily fluids when it fell, and if you did not have an open wound or break in the skin, the risk of infection from antibiotic-resistant bacteria is also quite low.
It is crucial to recognize that the risk of infection from acupuncture needles is significantly mitigated when proper hygiene and sterilization practices are followed. Licensed acupuncturists are trained to use sterile, single-use needles and to maintain a clean environment to minimize the risk of cross-contamination. If you have concerns about the cleanliness of the acupuncture setting or the practices of the practitioner, it is advisable to discuss these concerns directly with them or seek treatment from a reputable clinic.
In summary, while there is a theoretical risk of infection from acupuncture needles, the actual risk in your scenario appears to be minimal. If you experience any unusual symptoms or have concerns about your health, it is always best to consult a healthcare professional for personalized advice and potential testing. Regular health check-ups and being aware of your vaccination status for Hepatitis B can also help in managing your health proactively.
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