Literature Study on the Infection Control of (
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Kyong Ha Cho; Woong Ki; Dong Il Yuk; In Su Sung; Min Jung Kim; Kwon Eui Hong

doi:10.13045/acupunct.2013035

J Acupunct Res > Volume 30(4); 2013 > Article

Cho, Ki, Yuk, Sung, Kim, and Hong: Literature Study on the Infection Control of Dochim

Original Article

The Acupuncture 2013; 30(4): 181-187.

Published online: September 20, 2013

DOI: https://doi.org/10.13045/acupunct.2013035

Literature Study on the Infection Control of Dochim

Kyong Ha Cho¹, Woong Ki¹, Dong Il Yuk², In Su Sung², Min Jung Kim², Kwon Eui Hong^2,^*

¹Iksan City Public Health Center, Korean Medicine Hospital, Daejeon University

²Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital, Daejeon University

^*Corresponding author : Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital, Daejeon University, 176-9, Daeheung-ro, Jung-gu, Daejeon, 301-724, Republic of Korea, Tel : +82-42-229-6816 E-mail : hkeacu@hanmail.net

Received August 29, 2013 Revised August 30, 2013 Accepted August 30, 2013

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract

Objectives :

Dochim have been recorded in Korean medical classics as a diversified instrument for acupuncture to treat patients with various symptoms. Recently, there is a lot of Korean Medicine Doctors are increasingly using Dochim. However a study on using Dochim is a lack of infection control.

Methods :

We investigated about the existing infection about Dochim. Based on investigated information we presented methods for infection control during Dochim therapy.

Results & Conclusions :

Prevent infection during Dochim therapy performed at a primary consideration, and the prevention of infection shoould be treated.

Key Words: Dochim; Infection prevention; Disinfection.

Fig. 1.

Dochim commonly used as the end of a sharp knife and reches the length of 8 cm

Fig. 2.

Thickness of 1 mm Dochim only as a one-time procedure contaminated with large amounts of blood are flushed

Table 1.

According to Medical Equipment Sterilization and Disinfection Methods

	Sterilization	High-level disinfection	Middle-level disinfection	Low-level disinfection
Object	High-risk organizations	Middle-risk organizations	Middle-risk organizations & non-risk organization	Non-risk organization
Disinfection time	Each method shown in ()	12∼13 minutes over at 20 degrees1,2	More than 1 minute 3	More than 1 minute 3
Kind and methods	High-temperature sterilization: steam or high temperature air (3∼30 minutes in the case of steam sterilization)	Glutaraldehyde mixed product (1.12 % glutaraldehyde + 1.93 % phenol + 3.4 % glutaraldehyde +26 % isopropanol)	Ethanol or isopropanol (70∼90 %) Sodium hypochlorite	Ethanol or Isopropanol (70∼90 %)
	Ethylene oxide gas sterilization (1∼6 hours of sterilization time and 8–12 hours of air-purifying time is needed)	More than 0.55 % orthopeutal aldehyde	(diluted to 1:500, laboratory or concentrated sample diluted to 1:50)	Sodium hypochlorite (diluted to 1:500)
	Hydrogen peroxide gas plasma (45∼72 minutes, depending on the inner tube diameter)	7.5 % hydrogen peroxide	Phenolic germicidal detergent (diluted according to manufacturers instructions)	Phenolic germicidal detergent (diluted according to manufacturers instructions)
	Glutaraldehyde mixed product (1.12 % glutaraldehyde + 1.93% phenol + 3.4 % glutaraldehyde + 26 % isopropanol) (note that the temperature and concentration, 10 hours at 20∼25 °C)	Hydrogen peroxide / peracetic acid mixed product (7.35% Hydrogen peroxide + 0.23 % peracetic acid, 1 % Hydrogen peroxide + 0.08 % peracetic acid)	Iodophors aerosol cleaners (diluted according to manufacturers instructions)	Iodophors Aerosol cleaners (diluted according to manufacturers instructions)
	7.5 % hydrogen peroxide (6 hours)	After cleaning, wet pasteurized for 30 min at 70 °C	-	4 grade ammonium detergents (diluted according to manufacturers instructions)
	0.2 % peracetic acid (12 min at 50∼56 °C)	Hypochlorite (used to be in a place prepared by electrolysis with active chlorine containing more than 650∼675 ppm)	-	-
	Hydrogen peroxide / peracetic acid mixed product (7.35 % hydrogen peroxide + 0.23% peracetic acid, 1 % hydrogen peroxide + 0.08 % peracetic acid) (3∼8 hour)	-	-	-

Table 2.

Estimate the cost of Dochim Therapy

Dochim therapy’s material prices
Material	Unit	Usage	Use the price per unit(won)
Dochim	EA	10	300
Cotton	G	10	8
Potadine	cc	20	5
Alcohol 70 %	cc	20	2
Gauze 4×4″(4P)	EA	10	23
Glove, surgical	PAIR	3	217
Mask, disposable	EA	3	66
Surgical gown	EA	3	588
CAP	EA	3	63
Drape sheet	EA	1	699
Adhesive plaster 330 cm	EA	1	980
Total	7,931

V. References

1. Kang MK, Kim KH, Choe MH. A Study on Levels of Awareness of Nosocomial Infection and Management Practices by Operating Room Nurses. Journal of Korean Academy of Fundamentals of Nursing. 2004;11(3):327–34.

2. Seo SS, Ha DJ, Kim CW, Kim KW, Seo JH. Knee Surgery & Related Research. Journal of Korean Knee Society. 2008;20(1):44–9.

3. Lao L, Hamilton GR, Fu J, Berman BM. Is acupuncture safe? A systematic review of case reports; Fu jianping emd. Alternative Therapies in Health and medicine. 2003;9(1):72–83.

4. Kim KM, Kim HJ, Choi JS. Knowledge and Performance Level of Infection Control and Influencing Factors of Oriental Medical Doctors and Nurses in Korea. Journal of Korean Academy of Nursing. 2012;24(1):74–84.

5. Lee TH, Kang SM, Ko KS, et al. A Case of Acupuncture-induced Infectious Sacroiliitis. Journal of Korean College of Rheumatology. 2006;13(4):316–20.

6. Kang SH, Jeong WK. Necrotizing Fasciitis of Chest Wall Complicating Acupuncture. Journal of the Korean Surgical Society. 2006;71(3):234–8.

7. Shin JH, Choi KP. The Postoperative Wound Infection and Prevention. Journal of the Korean Surgical Society. 1990;39(2):167–73.

8. Park TH. Antiseptics and Preparation of Patients. In: 58th International Conference of Dermatology; 2006 Apr19–20; Busan, Korea. Seoul: Korean Journal of Dermatology. 2006;

9. http://health.boeun.go.kr/boardDownLoadView.html?bcode=B0065&fid=26.

10. http://blog.naver.com/PostView.nhn?blogId=sunpower11&logNo=120189457547.

11. Kyung Hee University Medical Center. Kyung Hee University Medical Center Infection control guidelines. 2nd.2006:139–44.