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J Acupunct Res > Volume 30(4); 2013 > Article
Cho, Ki, Yuk, Sung, Kim, and Hong: Literature Study on the Infection Control of Dochim
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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.

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

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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;

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

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