Literature Study on the Infection Control of Dochim

Article information

J Korean Acupunct Moxib Soc. 2013;30(4):181-187
Publication date (electronic) : 2013 September 20
doi : https://doi.org/10.13045/acupunct.2013035
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 2013 August 29; Revised 2013 August 30; Accepted 2013 August 30.

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.

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

According to Medical Equipment Sterilization and Disinfection Methods

Estimate the cost of Dochim Therapy

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

Article information Continued

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