The Experts below are selected from a list of 306 Experts worldwide ranked by ideXlab platform
Eduardo D. Rodriguez - One of the best experts on this subject based on the ideXlab platform.
-
Transcartilaginous Ear Piercing and infectious complications: A systematic review and critical analysis of outcomes
The Laryngoscope, 2015Co-Authors: Michael Sosin, Jason M. Weissler, Marisa E. Pulcrano, Eduardo D. RodriguezAbstract:Objectives/Hypothesis The purpose of this systematic review was to critically analyze infectious complications and treatment following transcartilaginous Ear Piercing. Data Sources MEDLINE Pubmed database. Review Methods A MEDLINE PubMed database sEarch using free text, including “Ear chondritis,” “Ear perichondritis,” “Ear cartilage Piercing,” and “auricle Piercing,” yielded 483 titles. Based on set inclusion and exclusion criteria, the titles, abstracts, and full text articles were reviewed for inclusion and underwent data extraction. Pooled outcomes are reported. Results A total of 29 articles met inclusion criteria, including 66 patients. The mean age of the patients was 18.7 ± 7.6 yEars (range: 11–49), 87.5% female. Ear deformity was more likely to occur following postPiercing perichondritis of the scapha 100% versus the helix 43% (P = 0.003). Mean duration of symptoms prior to patients seeking medical attention was 6.1 ± 4.1 days. Greater than 5 days of symptoms prior to seeking treatment was significantly more likely to result in hospitalization. Pseudomonas aeruginosa accounted for 87.2% infections. Of the patients with Pseudomonas, 92.3% were hospitalized versus 75% of the patients infected with Staphylococcus aureus. Initial oral antibiotics prescribed did not target the cultured bacterium in 53.3% of cases; of these, 87.5% were hospitalized. Conclusions Transcartilaginous postPiercing infection may lead to Ear deformity and hospitalization. Patients (customers) and practitioners must be aware of optimal treatment strategies to minimize associated morbidity. Scapha Piercing and delay in presentation are associated with poorer outcomes. Pseudomonas is the most common bacterial infection. Initial antibiotic selection must be optimized accordingly. Laryngoscope, 125:1827–1834, 2015
Gail A. Harkness - One of the best experts on this subject based on the ideXlab platform.
-
Body Piercing as a risk factor for viral hepatitis: an integrative resEarch review.
American journal of infection control, 2001Co-Authors: Margaret Oot Hayes, Gail A. HarknessAbstract:The relationship of viral hepatitis and body Piercing has been investigated in 12 resEarch studies published between 1974 and 1997. Because there are often a large number of unknowns regarding the cause of viral hepatitis, most of the studies were conducted to identify multiple risk factors for hepatitis. Eight of the 12 studies identified percutaneous exposure, including body Piercing and Ear Piercing, as a risk factor for viral hepatitis. Six studies found that hepatitis seropositivity was significantly associated with Ear Piercing. Conclusions indicate that evidence is sufficient to institute public health education along with regulation of the body-Piercing industry. Recent resEarch has found a significant increase in legislative efforts to regulate body Piercing. Little resEarch has focused directly on body Piercing as a specific risk factor for viral hepatitis. Further resEarch in this area is necessary to increase the understanding of hepatitis transmission by body Piercing.
Michael Sosin - One of the best experts on this subject based on the ideXlab platform.
-
Transcartilaginous Ear Piercing and infectious complications: A systematic review and critical analysis of outcomes
The Laryngoscope, 2015Co-Authors: Michael Sosin, Jason M. Weissler, Marisa E. Pulcrano, Eduardo D. RodriguezAbstract:Objectives/Hypothesis The purpose of this systematic review was to critically analyze infectious complications and treatment following transcartilaginous Ear Piercing. Data Sources MEDLINE Pubmed database. Review Methods A MEDLINE PubMed database sEarch using free text, including “Ear chondritis,” “Ear perichondritis,” “Ear cartilage Piercing,” and “auricle Piercing,” yielded 483 titles. Based on set inclusion and exclusion criteria, the titles, abstracts, and full text articles were reviewed for inclusion and underwent data extraction. Pooled outcomes are reported. Results A total of 29 articles met inclusion criteria, including 66 patients. The mean age of the patients was 18.7 ± 7.6 yEars (range: 11–49), 87.5% female. Ear deformity was more likely to occur following postPiercing perichondritis of the scapha 100% versus the helix 43% (P = 0.003). Mean duration of symptoms prior to patients seeking medical attention was 6.1 ± 4.1 days. Greater than 5 days of symptoms prior to seeking treatment was significantly more likely to result in hospitalization. Pseudomonas aeruginosa accounted for 87.2% infections. Of the patients with Pseudomonas, 92.3% were hospitalized versus 75% of the patients infected with Staphylococcus aureus. Initial oral antibiotics prescribed did not target the cultured bacterium in 53.3% of cases; of these, 87.5% were hospitalized. Conclusions Transcartilaginous postPiercing infection may lead to Ear deformity and hospitalization. Patients (customers) and practitioners must be aware of optimal treatment strategies to minimize associated morbidity. Scapha Piercing and delay in presentation are associated with poorer outcomes. Pseudomonas is the most common bacterial infection. Initial antibiotic selection must be optimized accordingly. Laryngoscope, 125:1827–1834, 2015
Margaret Oot Hayes - One of the best experts on this subject based on the ideXlab platform.
-
Body Piercing as a risk factor for viral hepatitis: an integrative resEarch review.
American journal of infection control, 2001Co-Authors: Margaret Oot Hayes, Gail A. HarknessAbstract:The relationship of viral hepatitis and body Piercing has been investigated in 12 resEarch studies published between 1974 and 1997. Because there are often a large number of unknowns regarding the cause of viral hepatitis, most of the studies were conducted to identify multiple risk factors for hepatitis. Eight of the 12 studies identified percutaneous exposure, including body Piercing and Ear Piercing, as a risk factor for viral hepatitis. Six studies found that hepatitis seropositivity was significantly associated with Ear Piercing. Conclusions indicate that evidence is sufficient to institute public health education along with regulation of the body-Piercing industry. Recent resEarch has found a significant increase in legislative efforts to regulate body Piercing. Little resEarch has focused directly on body Piercing as a specific risk factor for viral hepatitis. Further resEarch in this area is necessary to increase the understanding of hepatitis transmission by body Piercing.
Klaus Ejner Andersen - One of the best experts on this subject based on the ideXlab platform.
-
Nickel allergy from adolescence to adulthood in the TOACS cohort.
Contact dermatitis, 2013Co-Authors: Charlotte G. Mortz, Carsten Bindslev-jensen, Klaus Ejner AndersenAbstract:Summary Background. In 1995, we established a cohort of 1501 unselected eighth-grade schoolchildren to investigate the course of nickel allergy into adult life. Objectives. To follow the course of nickel allergy and clinically relevant nickel dermatitis over 15 yEars from adolescence to adulthood, and the effect of Ear Piercing, atopic dermatitis and degree of nickel patch test reactivity. Methods. Onethousandtwohundredandsixyoungadultsfromthecohortwereasked to complete a questionnaire and participate in a clinical examination including patch testing with TRUE Test® including a nickel dilution series. Results. Thequestionnairewasansweredby899(74.6%),and442(36.7%)hadpatch tests performed. The point prevalence of nickel allergy was 11.8% (clinical relevance 80.8%). The 15-yEar incidence rate was 6.7%. Most new sensitizations were clinically relevant with strong reactions, and many participants reacted to low concentrations. Only a few positive reactions were lost. Nickel allergy was more common among women with childhood atopic dermatitis, whereas no association with Ear Piercing was found.
-
Reduced frequency of nickel allergy upon oral nickel contact at an Early age.
Clinical and experimental immunology, 2008Co-Authors: I. M. W. Hoogstraten, Klaus Ejner Andersen, Georg Kraal, D. P. Bruynzeel, D. Burrows, B. M. E. Blomberg, Dagmar Boden, José G. Camarasa, An Dooms-goossens, A. LahtiAbstract:From animal studies we know that oral administration of T-dependent antigens before sensitization effectively induces systemic immune unresponsiveness. Such 'oral tolerance' is persistent, dose-dependent, antigen-specific and presumably T suppressor cell-mediated. Oral tolerance induction could be an effective way to prevent undesired T cell-mediated immune functions, such as playing a role in allograft reaction, autoimmune and allergic diseases. In the present study allergic contact hypersensitivity (ACH) to nickel, currently presenting the most frequent contact allergy in man, was chosen to establish the feasibility of oral prevention of undesired T cell-mediated immunity in man. Potentially tolerizing (oral nickel contacts via orthodontic braces) as well as sensitizing (Ear Piercing) events were studied retrospectively in 2176 patients attending nine European patch test clinics. Patients were interviewed by means of a confidential questionnaire. The results show that Ear Piercing strongly favoured development of nickel ACH. More importantly, patients having had oral contacts with nickel-releasing appliances (dental braces) at an Early age, but only if prior to Ear Piercing, showed a reduced frequency of nickel hypersensitivity. Frequencies of other hypersensitivities, in particular to fragrance, were not affected. These results support our view that induction of specific systemic immunologic tolerance by timely oral administration of antigens is feasible in man.
-
Nickel sensitization in adolescents and association with Ear Piercing, use of dental braces and hand eczema: The Odense Adolescence Cohort Study on Atopic Diseases and Dermatitis (TOACS)
Acta dermato-venereologica, 2002Co-Authors: Charlotte G. Mortz, Jens Lauritsen, Carsten Bindslev-jensen, Klaus Ejner AndersenAbstract:The prevalence of nickel allergy (sensitization) and the associations with Ear Piercing, use of dental braces and hand eczema were assessed in a cohort of 1,501 8th grade schoolchildren (aged 12-16 yEars) in Odense, Denmark. Nickel allergy was found in 8.6% and was clinically relevant in 69% of cases. Nickel allergy was found most frequently in girls and the association with Ear Piercing was confirmed. Application of dental braces (oral nickel exposure) prior to Ear Piercing (cutaneous nickel exposure) was associated with a significantly reduced prevalence of nickel allergy. In adolescents a significant association was found between hand eczema and nickel allergy. A follow-up study of this population is planned in order to assess the course and development of contact dermatitis, hand eczema and atopic diseases in adulthood and after choice of occupation.