![]() Following initial reports of infection made by the surgeon, an Environmental Health Officer visited the premises on 8th December 2016, and found that the owner had voluntarily suspended piercing following reports of illness he had received through social media platforms. Using social media, the premises advertised a special “Black Friday” event for the 25th November 2016, where all piercings were reduced in price. There were two piercing practitioners: a more experienced owner, and a newly-employed practitioner. The piercing premise involved in this outbreak was located in North West England, was licensed, and had previously undergone satisfactory inspection in June 2015. There are also recommendations for infection control, set out in guidance jointly produced by the Chartered Institute of Environmental Health, Public Health England, the Health and Safety Laboratory, and the Tattoo and Piercing Industry Union 11, which operators are encouraged to follow.ĭuring early December 2016, a local Ear, Nose and Throat (ENT) surgeon working in a District General Hospital notified Public Health England (PHE) North West that, over the course of two days, he had operated upon the ear cartridge of two teenage girls who had both developed infection after undergoing scaffold piercing on the same day and at the same premises. ![]() All registered persons and premises must comply with the Local Authority Byelaws. In England, piercing premises are regulated by local authorities and they must be registered and undergo a satisfactory hygiene inspection by Environmental Health Officers 10. Here we report the investigation and public health control measures implemented to manage an outbreak of Pseudomonas aeruginosa linked to scaffold piercings done during a special "Black Friday" promotional event held at a piercing and tattooing premises in North West England. In recent years, annual "Black Friday" promotional events have been widely-held in North America and the UK (as well as other countries), and typically involve retailers reducing prices of goods or services for a single day in late November to promote sales. In England during 2016, a national outbreak of Pseudomonas infection linked to a contaminated aftercare cleaning solution resulted in a large number of cases 9. In 2000 in Oregon, USA, cartilage infection was confirmed in seven cases and suspected in a further 18 individuals, with risk of infection strongly associated with piercing with an open gun 7. Ī small number of case reports and point source outbreaks of Pseudomonas aeruginosa infection linked to conventional ear piercing have previously been reported 6, 7, 8. Although scaffold piercing is reported to be more painful than conventional ear piercing (as it involves the helix rather than the pinna) and may take longer to heal 2, 3, 4, we are unaware of previous reports of rates of infection or outbreaks associated with this relatively new cosmetic procedure 5. Scaffold ear piercing (sometimes known as “bar”, “industrial”, or “construction” piercing) involves the placement of two pierced holes in the upper ear cartridge (one in the forward helix position, and one in the posterior helix), through which a metal jewellery bar with securing ends is threaded, sometimes using a guide bar 1.
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