Guidelines on Basic Training and Safety in Acupuncture: Section II: Safety in acupuncture: 1. Prevention of infection: 1.5 Aseptic technique

Guidelines on Basic Training and Safety in Acupuncture
(1999; 35 pages) [French] [Spanish]

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Table of Contents

Acknowledgements
Introduction
	Basic training in acupuncture
	Safety in acupuncture
Section I: Basic training in acupuncture
	1. Purpose of the guidelines
	2. Use of acupuncture in national health systems
		2.1 Administrative and academic considerations
		2.2 Examinations and licensing
		2.3 Supervision, monitoring and evaluation
		2.4 Further education and career possibilities
	3. Levels of training
	4. Training programmes
	5. Training of acupuncture practitioners
		5.1 Acupuncture practitioners
		5.2 Entrance requirements
		5.3 Duration of training
		5.4 Objective
		5.5 Core syllabus in acupuncture
		5.6 Core syllabus in modern Western medicine
		5.7 Other related fields of health care
		5.8 Examination
	6. Full training in acupuncture for qualified physicians
	7. Limited training in acupuncture for qualified physicians
		7.1 Basic training
		7.2 Special courses
		7.3 Advanced training
	8. Limited training in acupuncture for primary health care personnel
	9. Selected acupuncture points for basic training
	10. Selected points for basic training in acupuncture
Section II: Safety in acupuncture
	1. Prevention of infection
		1.1 Clean working environment
		1.2 Clean hands
		1.3 Preparation of the needling sites
		1.4 Sterilization and storage of needles and equipment
		1.5 Aseptic technique
	2. Contraindications
		2.1 Pregnancy
		2.2 Medical emergencies and surgical conditions
		2.3 Malignant tumours
		2.4 Bleeding disorders
	3. Accidents and untoward reactions
		3.1 Needle quality
		3.2 Position of patient
		3.3 Fainting
		3.4 Convulsions
		3.5 Pain
		3.6 Stuck needle
		3.7 Broken needle
		3.8 Local infection
		3.9 Burning during moxibustion
	4. Electrical stimulation and laser therapy
	5. Injury to important organs
		5.1 Areas not to be punctured
		5.2 Precautions to be taken
	6. Patient records
Appendix
	1. Sterilization of acupuncture needles and equipment
	2. Methods of sterilization
	3. Disinfection
	4. Maintenance
Annex I: List of participants

1.5 Aseptic technique

The needle shaft must be maintained in a sterile state prior to insertion. Needles should be manipulated in such a way that the practitioner's fingers do not touch the shaft. If there is difficulty in inserting a long needle, such as that used in puncturing GB 30 huantiao or BL 54 zhibian by just grasping its handle, the shaft should be held in place with a sterile cotton wool ball or swab. The use of disposable sterile surgical gloves or finger stalls makes it easy to manipulate needles without contamination.

On withdrawing a needle, a sterile cotton wool ball should be used to press the skin at the insertion site, thus protecting the patient's broken skin surface from contact with potential pathogens, and the practitioner from exposure to the used needle shaft and the patient's body fluid. All compresses or cotton wool balls contaminated by blood or body fluids must be discarded in a special container for infectious waste.