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4334534 
Journal Article 
Addendum: Safety Standards for Gua sha (press-stroking) and Ba guan (cupping) 
Nielsen, A; Kligler, B; Koll, BS 
2014 
Yes 
Complementary Therapies in Medicine
ISSN: 0965-2299 
22 
3 
446-448 
English 
24906583 
Our previous article Safety Standards for Gua sha (press-stroking) and Baguan (cupping) discussed the risk of transfer of blood-borne pathogens with Gua sha and Ba guan, identified Gua sha and Ba guan 'instrument criticality' as semi-critical and offered recommendations for safe practice based on hospital disinfection standards. Based on the article's feedback, we feel the need to clarify that Gua sha and Ba guan instruments, if intended for reuse, must undergo high level disinfection (HLD) or, in the case of 'wet-cupping', sterilization. We update our recommendations to be amenable to both private practice and education settings.