目的:身体穿孔定义为珠宝渗透到不同身体部位的开口中。在过去的几十年里,它在普通人群中变得越来越普遍。目的是分析有关身体穿刺并发症的现有文献,以提高对这一问题的认识,并计划和执行适当的预防干预措施。
方法:这是一个系统综述。
方法:使用系统评价和荟萃分析指南的首选报告项目进行系统评价;方案在PROSPERO注册[CRD42020177972]。PubMed,从数据库开始到2020年4月,搜索了Scopus和WebofScience,其中包括英语文章,报道了穿孔与健康风险之间的联系。并通过适当的质量评估工具对其质量进行评估。
结果:共发现4748项研究,在重复的移除和筛选之后,共84篇文章。处理微生物效应的研究报告了由于原发部位感染的传播而导致的局部和远处的这些并发症:乳腺炎,心内膜炎,肾小球肾炎,头型破伤风,病毒性肝炎,艾滋病毒,小脑脓肿和中毒性休克综合征。此外,出血,牙龈衰退,牙齿损伤,接触性皮炎,肉芽肿性皮炎,瘢痕疙瘩,报告了纤维瘤和基底细胞癌。
结论:卫生当局应促进教育运动,以传播与穿孔相关的健康风险知识。此外,穿孔机往往没有充分意识到所有可能的不利影响,由于穿孔,因为他们的专业培训不同的国家。因此,建议定期提供他们在这一领域的教育升级。
OBJECTIVE: Body piercing is defined as the penetration of jewellery into openings made in different body areas. In the last decades, it has become increasingly common in the general population. The aim is to analyse the available literature about complications from body piercing for contributing to raise the awareness towards this issue and to plan and perform appropriate prevention interventions.
METHODS: This is a systematic
review.
METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used to perform this systematic
review; the protocol was registered with PROSPERO [CRD42020177972]. PubMed, Scopus and Web of Science were searched from database inception to April 2020, and articles in English language reporting a proven association between piercings and health risks were included, and their quality were assessed by adequate quality assessment tools.
RESULTS: A total of 4748 studies were found, and after duplicates removal and screening, 84 articles were included. Studies dealing with microbiological effects reported these complications both locally and at distant sites as a result of the spreading of the primary site infection: mastitis, endocarditis, glomerulonephritis, cephalic tetanus, viral hepatitis, HIV, cerebellar brain abscess and toxic shock syndrome. In addition, bleeding, gingival recession, dental injuries, contact dermatitis, granulomatous dermatitis, keloid, fibroma and basal cell carcinoma were reported.
CONCLUSIONS: Health authorities should promote educational campaigns to spread the knowledge on health risks related to piercings. Besides, piercers are often not adequately aware of all the possible adverse effects due to piercings because their professional training differs among countries. It is therefore advisable to provide periodical upgrade of their education in this field.