NHDomsubcouple
Posts: 3
Joined: 9/11/2004 Status: offline
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quote:
OK a friend and i been chatting about me wanting to get my nipple pierced and He wants to do it Himself. My first instinct is No way in hell! Am i being unreasonable because i think a professional should do this? He ordered a kit to do it which is sterile and has instruction but ummmm i just don't feel it is a good idea. Nipple piercing is a surgical procedure. The site must be sterilized and must remain sterile; the items that touch, or come in close contact with the insertion site must also be sterile. Our skin is covered with commensal bacteria which, though harmless on the skin can be deadly if introduced into the bloodstream. Many hospitals have created IV (Intravenous) teams recently, why? Because nosocomial (hospital induced infections) are reduced by a dedicated team that does skin puncturing. Consider this. What this means is that nurses, who routinely puncture the skin for veinapuncture have a high enough rate of failure, resulting in infection, for these places to create a dedicated team to reduce infection rates. My own experience indicates that highly trained Registered Nurses often fail to strictly maintain a “sterile field.” If this case exists then what chance does he have, with no experience of guaranteeing sterility? Consider that he must back the nipple with something during the piercing, else the nipple will deflect, scrunching sideways. Is that item sterile? If he touches the skin within a few inches of the piercing site his gloves must be sterile. Boxed gloves from the pharmacy are not sterile. Consider also that many medical students fail to maintain sterility while putting the gloves on, until the technique is learned. Though it may be hard to understand how it might be difficult for a person to put gloves on, it is. There is a specific procedure which must be followed. Does he have proper technique when sterilizing the nipples? Will he use Betadine, or is he going to use alcohol, and if so is that adequate. For instance, proper procedure would likely indicate using three betadine swabs (all sterile) starting at the center of the nipple, and proceeding outwards, in a circular motion for several inches, followed by another, and another. Wipe a swab in the wrong direction, and he may drag bacteria onto the site to be pierced. Does he have a surgical mask? Putting this all together, I’d suggest finding a reputable, conscientious piercer in Texas. Now why would I suggest a Texan piercer, you might ask. Well, to understand my train of thought a person needs to know how public health officials look at the relationship of Hepatitis C (HCV) to tattooing (and I suspect, piercing) establishments. CDC (The Center for Disease Control) does not recommend the inspection of tattooing parlors. However there appears evidence (See: Tattooing Paradox, Arch Internal Med, Vol. 163, May 12, 2003) that the decision not to inspect is based upon acute presentation of HCV. Haley, in his article looks at the relationship of tattooing and acquisition of sub clinical infection of HCV (one that does not produce significant symptoms of infection in early stages). His findings indicate that about half of all sub-clinical HCV cases that exist correlate to a previous tattoo placement. The enormity of this is potentially astounding. If this data is corroborated it means that hundreds of thousands of cases of HCV will eventually be attributed to tattooing (and piercing). HCV frequently leads to cirrhosis and liver cancer (15-25%). If only one hundred thousand people become infected by tattooing or piercing, and only 10% eventually need liver transplants the cost will reach 2.5 billion dollars. For this reason alone, I believe that in not too many years, every state will inspect and regulate tattooing, and piercing establishments because of this correlation. But why do I mention Texas? Because “Texas is the only state that licenses all tattooing establishments and carries out regular inspections to ensure proper sterilization and aseptic techniques required to prevent the transmission of viral hepatitis.” Haley adds: “The effectiveness of the Texas inspection system, implemented in 1995, was suggested by a seroepidemiological survey of approximately 8000 South Texas college students in 2000 and 2001, which showed no association of recent subclinical HCV. If Texas is not on your itinerary it seems prudent to find a piercer that can explain the entire procedure, who without prompting, offers you a litany of infection control information. Anyone interested in blood “play” also might wish to become vaccinated for Hepatitis B. There is no inoculation for Hepatitis C.
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