Tattoo Parlors Research Articles

Survey on microbial contamination of opened skin care products used for tattooing.

Inadequate hygiene measures as well as the use of contaminated inks or non-sterile needles are considered as important infection sources in the process of tattooing. In tattoo parlors and at conventions, it is common practice to apply cosmetic products from bulk packs as lubricants during tattooing and as ointments for tattoo aftercare. The objective of our study was to assess the microbial load of opened skin care products used during tattooing or for tattoo aftercare. First, we established a homogenization method suitable for microbiological examination of water immiscible products. To this end, we compared the efficiency of FastPrepTM and Stomacher® homogenizers on artificially contaminated petroleum jelly. FastPrep homogenates revealed significantly higher detection rates (≥ 97%) compared to Stomacher ones (31-64%). Second, we investigated 106 cosmetic bulk pack products collected from tattoo artists. After FastPrep homogenization for 30 seconds total aerobic mesophilic bacteria and the presence of Pseudomonas aeruginosa, Staphylococcus aureus and Candida albicans were determined through culture. We also tested for Mycobacteria spp. by qPCR. In total, 4.7% of the cosmetic products under study turned out to be contaminated. The observed microbial contamination of opened skin care bulk packs can hold a risk to introduce bacteria into the fresh skin wound resulting from tattooing and may be a risk factor for post-tattoo infections.

Medical Tattooing in Hospital Settings versus Parlors and the Challenging Hygiene Requirements.

The European Union for Standardization called CEN (Comité Européen de Nomalization), as a result of the project named CEN/TC-435 in January 2020, released a new hygiene standard for tattooing as a non-binding recommendation on safe tattoo practice in Europe, ready for national implementation. It describes hygienic standards for facilities, instruments, tattoo ink handling, and tattoo procedures. Informed consent is included. It is generic and covers all sorts of tattooing. Medical tattooing is performed in hospitals, private clinics, and in tattoo parlors. Hospitals have their own settings and hygiene standards. The article describes practical challenges of medical tattooing performed in hospital settings, with medical tattooing performed in parlors as the reference, with respect to adherence to hygiene standards of different background and nature. It is a challenge possible to overcome in practice. The specialized field of medical tattooing is also visited, and indications and precautions described.

248 Effect of Myrciaria Dubia on in vitro Tattoo model

248 Effect of Myrciaria Dubia on in vitro Tattoo model

402 Effect of myrciaria fubia on in vitro tattoo model

402 Effect of myrciaria fubia on in vitro tattoo model

Disposal of Waste from Tattoo and Beauty Parlors in Poland: A Survey-Based Analysis on Epidemiological Safety.

Appropriate waste management is increasingly relevant due to environmental and infectious disease transmission concerns. An anonymous observational cross-sectional study was conducted from 2013–2017 of 262 tattooists and 824 beauticians throughout Poland. Knowledge, attitudes, behavior, and compliance with blood-borne infection controls and correct waste disposal were assessed. Tattooists correctly addressed hazardous waste significantly more often than did beauticians (83.3% vs. 44.8%). Medical waste was collected by a specialist company in 90.1% of tattoo parlors and 63.3%of beauty parlors. Tattooists correctly used and disposed of sharps more frequently than beauticians (93.1% vs. 68.9%); however, 46.4% of beauticians and 12.4% of tattooists discarded waste into municipal trash, including sharps (27.1% and 2.6%, respectively). Incorrect collection and labeling of biological waste present occupational risk to waste disposal personnel. Education and instructional controls could improve health safety in this industry. Biological waste management processes are restrictive for medical services and liberal for beauty services, an industry for which they should also be applied more comprehensively.

Assessing Infection Risks among Clients and Staff Who Use Tattooing Services in Poland: An Observational Study.

Across cultures and generations, people have tattooed their bodies. Although blood-borne infections from tattooing have been reduced, certain service aspects remain improperly managed. We assessed the infection risks associated with tattooing by conducting a cross-sectional study (2013–2014) in Poland using an anonymous questionnaire survey. Scoring procedures for blood-borne infection risks for tattooists and their clients were used. Overall, 255 tattooists were interviewed. A quasi-random selection of tattoo parlors was based on a service register. Knowledge, attitudes, and behavior regarding blood-borne infection risks were assessed using a questionnaire. Simultaneously, tattoo centers were audited. Tattooing had a higher infection risk for tattooists than for clients. Approximately 50% of respondents underwent training on postexposure procedures, which constituted almost one in five of the reported needlestick/cut injuries sustained while working. Furthermore, 25.8% had no knowledge regarding risk from reliable sources, and 2.1% had not broadened their knowledge. Tattooists and their clients are at a risk of infection, and knowledge concerning infection risks remains an underestimated preventative factor. Service quality surveillance and creation of a register for tattoo-related complications may help assess the scale of this public health issue. However, a lack of these records implies the challenges in developing effective organizational and legal protections.

Tattooed and Non-Tattooed Women: Motivation, Social Practices and Risk Behavior

Abstract This study aimed at identifying motivations, risk behavior and social practices, comparing tattooed and non-tattooed women. 316 women (50% tattooed) were surveyed online, answering questions on sociodemographic data, social practices, motivations, and risk behavior. Data collection strategies included snow-balling, social networks, personal contact, and visits to tattoo parlors. The main results indicate that the majority of women express satisfaction with their physical appearance after getting tattooed, and wouldn’t get the tattoo removed. Being tattooed correlated with risk behaviors such as casual sex with unknown people, alcohol and drug use, and psychopathology. The sample presented more similarities than differences between tattooed and non-tattooed groups, suggesting that growing popularization and social acceptance of tattooing has led to a decrease of the differences between the groups. Such results may inform future research and the production of informative materials aimed at demystifying negative stereotypes associated to tattoos.

Assessing Infection Risks Among Clients and Staff Using Tattooing Services in Poland

Assessing Infection Risks Among Clients and Staff Using Tattooing Services in Poland

Extrapulmonary Nontuberculous Mycobacterial Disease Surveillance - Oregon, 2014-2016.

Nontuberculous mycobacteria (NTM), ubiquitous in soil and water, usually infect immunocompromised persons. However, even healthy persons are susceptible to infection through percutaneous inoculation. Although 77% of NTM diseases manifest as primarily pulmonary illnesses (1), NTM also infect skin, bones, joints, the lymphatic system, and soft tissue. NTM infections can have incubation periods that exceed 5 years (2), often require prolonged treatment, and can lead to sepsis and death. Extrapulmonary NTM outbreaks have been reported in association with contaminated surgical gentian violet (3), nail salon pedicures (4), and tattoos received at tattoo parlors (5), although few surveillance data have been available for estimating the public health burden of NTM.* On January 1, 2014, the Oregon Health Authority designated extrapulmonary NTM disease a reportable condition. To characterize extrapulmonary NTM infection, estimate resources required for surveillance, and assess the usefulness of surveillance in outbreak detection and investigation, 2014–2016 extrapulmonary NTM surveillance data were reviewed, and interviews with stakeholders were conducted. During 2014–2016, 134 extrapulmonary NTM cases (11 per 1 million persons per year) were reported in Oregon. The age distribution was bimodal, with highest incidence among persons aged <10 years (20 per 1 million persons per year) and persons aged 60–69 years (18 per 1 million persons per year). The most frequently reported predisposing factors (occurring within 14–70 days of symptom onset) were soil exposure (41/98; 42%), immunocompromised condition (42/124; 34%), and surgery (32/120; 27%). Overall, 43 (33%) patients were hospitalized, 18 (15%) developed sepsis, and one (0.7%) died. Surveillance detected or helped to control two outbreaks at low cost. Jurisdictions interested in implementing extrapulmonary NTM surveillance can use the Council of State and Territorial Epidemiologists (CSTE) standardized case definition (6) for extrapulmonary NTM reporting or investigative guidelines maintained by the Oregon Health Authority (7).

Abstract P6-12-19: Healing art: Breast cancer survivor experiences with nipple-areola tattoo procedures during breast reconstruction

Abstract Background: Nipple-areola tattoos can provide restoration of a natural looking breast that more closely resembles its pre-surgical appearance while avoiding additional surgeries. To date, the majority of nipple-areola tattoo procedures are performed by healthcare providers with minimal training in tattoo procedures. Substandard results explain the high rates of dissatisfaction among women who receive nipple-areola tattoos. In response, professional tattoo artists have emerged as an alternative provider for women seeking reconstruction. However, few studies have examined expectations and experiences of women undergoing nipple-areola tattoo procedures provided by a professional tattoo artist outside of the traditional healthcare setting. Methods: In-depth interviews were conducted with a racially/ethnically diverse group of 30 women who had undergone nipple-areola tattooing in the past 0-2 years. Interviews were conducted in English, Spanish, Chinese, and Arabic, recorded, and translated and transcribed into English for analysis. A team of three researchers conducted iterative reviews of the data which included closely reading each transcript, coding, running queries of codes, and developing summary documents to highlight recurrent concepts and patterns which were shared and discussed in group meetings. Results: Interview narratives addressed the often unexpected impact nipple-areola tattooing had on body image, self-esteem, emotional well-being, and interpersonal relationships. Women described their decision-making processes as weighing concern about the needle, the pain, and uncertainty about the tattoo artist, setting for the procedure, and outcome with the opportunity to return to a more “normal” appearance without further surgeries. Women discussed how their initial preconceptions of tattoos and tattoo parlors were ameliorated by the spa-like setting and the tattoo artist's anticipation of such concerns which enhanced her ability to put them at ease and provide professional and compassionate care. Participants noted the integral role the tattoo artist played in their positive experiences, describing her as both an “artist” and “caregiver.” The manner in which she guided them through the decision-making process regarding the color, size, shape, and placement of their nipple-areola tattoo was noted as particularly significant and empowering. Conclusions: Nipple-areola tattooing is an acceptable and meaningful reconstruction process for medically underserved public hospital patients. Our results indicate that women should be informed of nipple-areola tattooing as an alternative to more invasive, surgical reconstruction options. Results also illustrate how the healthcare system can extend beyond the traditional healthcare setting to include and leverage non-clinical and non-traditional specialists to provide appropriate care and positive breast health outcomes for women. In order to increase access and legitimacy to these services, additional research is needed to understand how to bring tattoo artists “in-house” (i.e., into the medical setting) and how to incorporate tattoo artists into breast health teams. Citation Format: Napoles TM, Guerra C, Orenstein F, Luce JA, Merritt S, Burke NJ. Healing art: Breast cancer survivor experiences with nipple-areola tattoo procedures during breast reconstruction [abstract]. In: Proceedings of the 2017 San Antonio Breast Cancer Symposium; 2017 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2018;78(4 Suppl):Abstract nr P6-12-19.

Do multiple body modifications alter pain threshold?

In recent years, epidemiological data has shown an increasing number of young people who deliberately self-injure. There have also been parallel increases in the number of people with tattoos and those who voluntarily undergo painful procedures associated with piercing, scarification, and tattooing. People with self-injury behaviors often say that they do not feel the pain. However, there is no information regarding pain perception in those that visit tattoo parlors and piercing studios compared to those who don't. The aim of this study was to compare nociceptive sensitivity in four groups of subjects (n=105, mean age 26 years, 48 women and 57 men) with different motivations to experience pain (i.e., with and without multiple body modifications) in two different situations; (1) in controlled, emotionally neutral conditions, and (2) at a "Hell Party" (HP), an event organized by a piercing and tattoo parlor, with a main event featuring a public demonstration of painful techniques (burn scars, hanging on hooks, etc.). Pain thresholds of the fingers of the hand were measured using a thermal stimulator and mechanical algometer. In HP participants, information about alcohol intake, self-harming behavior, and psychiatric history were used in the analysis as intervening variables. Individuals with body modifications as well as without body modifications had higher thermal pain thresholds at Hell Party, compared to thresholds measured at control neutral conditions. No such differences were found relative to mechanical pain thresholds. Increased pain threshold in all HP participants, irrespectively of body modification, cannot be simply explained by a decrease in the sensory component of pain; instead, we found that the environment significantly influenced the cognitive and affective component of pain.

Is Tattooing a Risk Factor for Hepatitis C Transmission?: An Updated Systematic Review and Meta-Analysis

Context: The aim of this systematic review was to assess the association of tattooing with the risk of hepatitis C infection. Evidence Acquisition: A systematic search was performed in Medline, Web of Science, Scopus, Google scholar, EMBASE, CINAHL, and PubMed up to May 2017. To analyze the data using random effect, odds ratio (OR) with 95% confidence interval (CI) was calculated for each study. We also determined publication bias and heterogeneity among the 162 extracted articles. Results: We included 163 relevant studies out of the 2353 extracted studies into the meta-analysis process. When all studies were included in the meta-analysis, the association between tattooing and risk of hepatitis C transmission was strongly significant (pooled OR = 2.79, 95% CI: 2.46 - 3.18). Subgroup analysis showed the strongest association between tattooing and the risk of hepatitis C among samples from blood donors groups (OR = 4.09, 95% CI: 2.80 - 5.98). Conclusions: This meta-analysis study revealed that tattooing is strongly associated with transmission of hepatitis C in all subgroups. Relevant education is recommended for young adults who are more likely to get tattoos as well as for prison inmates who have demonstrated high prevalence of hepatitis C infection. In addition, it seems necessary to implement prevention programs and enforce guidelines for safer tattooing practices in tattoo parlors in order to prevent hepatitis C transmission.

Real V. City of Long Beach

Real V. City of Long Beach

Getting my tat on … and off: Consumer explanation of tattoos’ roles in presentation-of-self in everyday life

ABSTRACTThis study explores the attitudes and behaviors toward the wearing of tattoos. The areas of interest and discussion include the motivations of tattoo patrons, the advertising and marketing strategies for tattoo parlors, the perception of people with tattoos, the perception of tattoos in the workplace, and managerial implications for tattoo parlors. The article also contains findings of exploratory research conducted by the authors, as well as an in-depth literature review. Both of these work to support the authors’ hypothesis that the complexion of tattoo wearing is changing.

Tattoo Infections, Personal Resistance, and Contagious Exposure through Tattooing.

Bacterial infection of tattoos remains a common complication. Pyogenic bacteria can cause infections shortly after the tattoo is made. Severity of infection varies from minor to major, ultimately with life-threatening septicemia. Viral infections may be introduced, i.e. HVB, HVC, and HIV. The risk of infection depends on the following triad: microbial pathogen and its aggressiveness, individual resistance of the tattooed, and inoculation and exposures by the tattoo needle and in the tattoo parlor. Some infectious risks can be controlled. Persons with weaknesses can refrain from tattooing. Tattoo parlors and tattooing can be hygienic and clean albeit not sterile; much has improved helped by hygiene guidelines of professional tattooists' organizations and through control instituted by local and national authorities. Tattoo inks remain a potential source of infection difficult to control in a low-priced competitive market operating over the Internet and across national borders. Ten percent of new inks are contaminated with bacteria pathogenic to humans, independent of a claim of 'sterility'. Known brands and established manufacturers are considered safer. Work is in progress aiming at common European standards for tattoo hygiene. Doctors have a role not only in treating tattoo infections but also in reporting cases to the competent authority in their country to support the monitoring of tattoo infections at any time, as an instrument for the authority to detect local outbreaks of tattoo infections early and prevent that new tattoo customers become infected. It is a potential risk of the future that new and very aggressive bacteria not seen in the past may unexpectedly show up in the tattoo scene.

The Risk of Bacterial Infection After Tattooing.

Tattooing is a globally growing trend. Overall prevalence among adults in industrialized countries is around 10-20%. Given the high and increasing numbers of tattooed people worldwide, medical and public health implications emerging from tattooing trends require greater attention not only by the public, but also by medical professionals and health policy makers. We performed a systematic review of the literature on tattooassociated bacterial infections and bacterial contamination of tattoo inks. Furthermore, we surveyed tattoo inks sampled during an international tattoo convention in Germany to study their microbial status. Our systematic review identified 67 cases published between 1984 and 2015, mainly documenting serious bacterial infectious complications after intradermal deposition of tattoo inks. Both local skin infections (e.g. abscesses, necrotizing fasciitis) and systemic infections (e.g. endocarditis, septic shock) were reported. Published bacteriological surveys showed that opened as well as unopened tattoo ink bottles frequently contained clinically relevant levels of bacteria indicating that the manufactured tattoo product itself may be a source of infection. In our bacteriological survey, two of 39 colorants were contaminated with aerobic mesophilic bacteria. Inappropriate hygiene measures in tattoo parlors and non-medical wound care are major risk factors for tattoo-related infections. In addition, facultative pathogenic bacterial species can be isolated from tattoo inks in use, which may pose a serious health risk.

Tearing Down the Silos: An Interdisciplinary, Practice-Based Approach to Graduate School Education

“Law in Public Health Practice” is an interdisciplinary, practice-based course in which the University of Pittsburgh's Graduate School of Public Health, its School of Law, and the Allegheny County Health Department work collaboratively to identify an issue needing the expertise of multiple disciplines. For the first iteration, students in over four disciplines explored the possible regulation of tattoo parlors. The lessons learned are adaptable to any topic that engages students in more than one discipline to address real-world public health problems.

Isolation and Identification of Nontuberculous Mycobacteria Associated with Tattoo-related Outbreaks

Recently, there have been several tattoo-related outbreaks of nontuberculous mycobacterial skin infections in the United States. In an eort to halt the outbreaks and to prevent similar events from occurring, FDA conducted an investigation to determine the source of the contamination. During the investigation, environmental and water samples were collected from tattoo parlors and manufacturers of tattoo ink. These samples were subjected to isolation of mycobacteria at Wadsworth Center of the New York State Department of Health and at FDA PRLSW followed by species identification of the isolates at PRLSW. In order to conduct the investigational studies in a time-sensitive manner, a two-step screening and classification procedure was devised. In this scheme, suspect mycobacterial colonies were screened using multiplex real- time PCR coupled with melting curve analyses specific for the genus Mycobacterium and for dierentiating the species within the M. chelonae-M. abscessus group. Mycobacterial isolates were subsequently identified via sequencing analysis within the coding regions of both 16s rRNA and RNA polymerase subunit beta. In total, 45 colonies of Mycobacterium were isolated and identified as M. chelonae, M. immunogenum, and M. mucogenicum. The isolates from each set of samples contained the corresponding species of Mycobacterium recovered from outbreak patients. Our results suggested that both unsanitary manufacturing processes during production of tattoo ink and the use of non-sterile water for dilution of tattoo ink were possible causes for outbreaks of skin infection in clients of the aected parlors. In addition, the two-step approach taken for screening and identifying mycobacterial colonies in the current study facilitated rapid investigation of tattoo-related outbreaks of nontuberculous mycobacterial infection, thereby enhancing FDAs ability to better protect public health.

Survey of the general public to determine perceptions and precautions taken when choosing personal service establishments

&#x0D; Objective: Personal service establishments (PSEs) include tattoo parlors, piercing shops, and beauty salons. Many of the services provided have potential to spread diseases due to the invasive nature and possibility of cross contamination if sanitation procedures are not followed. Potential infections such as nontuberculosis mycobacterium, staphylococcus aureus and blood borne infections such as Hepatitis and HIV are possible. There is concern among Environmental Health Officers (EHOs), and professionals in the industry regarding the lack of regulations and training of employees within the industry. This study investigated the criteria and safety measures the public takes when determining which personal service establishment they receive treatments from. Methods: A questionnaire was administered online through social media and Google Docs. Inferential statistical analyses determined if there were associations between certain demographic information and the responses given from participants. Results: There were six associations that were found when comparing demographic groups (age, gender and education) with the survey questions. A p value of 0.021008 was found in the association between age and perceived level of regulation of the industry, a p value of 0.014407 was found in the association between education and asking about sanitation procedures before an appointment, and a p value of 0.008668 was found in the association of education and if participant asks for references. In addition, p values of 0.028151 and 0.011739 with associations of gender and education, respectively, and the participants perceived ability to recognize bad practices during a procedure. Finally, a p value of 0.029766 was found in the association of gender and participants interest in additional information about how to choose an establishment. Conclusions: There were six hypotheses that resulted in statistically significant associations between a demographic and the survey question. Over 30 year olds chose PSEs were minimally regulated, while higher education groups were more likely to ask about sanitation and for references before a procedure. Females and people with some post secondary education felt they were more able to recognize bad practices during a procedure. Finally, females were most interested in additional information about PSEs.&#x0D;

Health care waste management – 25 years on – what have we learned?

Health Care Waste (HCW) – just one of the numerous terms used to describe the wide range of waste streams emanating from any health care facility in the world. In fact, this waste can also be generated in non-traditional settings such as the home (diabetic self-injectors), tattoo and body piercing parlors, and pharmacies where some immunizations are administered. We are a society that generates waste streams that fall into many categories. We also know that how waste is managed around the world varies. HCW is no exception. Management of the infectious portion of the HCW stream has posed interesting challenges in the past 25 years. What are those challenges and what have we learned?