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A Systematic Review Regarding Tonometry and the Transmission of Infectious Diseases
Nicole Atkins1, William Hodge2,3, Bruce Li4
1Public Health Program, Western University, London, ON N6A 3K7, Canada.
Journal of Clinical Medicine Research
|February 9, 2018
Summary
Tonometry may transmit infectious diseases like HIV and hepatitis between patients. Current disinfection methods show variable effectiveness, necessitating further research for improved patient safety and infection control guidelines.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Public Health
Background:
- Tonometry is a standard procedure for measuring intraocular pressure.
- Direct tonometer contact with the eye poses a risk of cross-infection.
- Concerns exist regarding the transmission of viral and prion diseases via tonometers.
Purpose of the Study:
- To systematically review the risk of infectious disease transmission through tonometry.
- To compare the effectiveness of current tonometer disinfection methods.
- To identify optimal sterilization techniques for preventing disease transmission.
Main Methods:
- A comprehensive literature search across multiple databases (e.g., PubMed, Web of Science, Scopus).
- Inclusion of dissertation indexes and clinical trial registries.
- Critical appraisal of retrieved articles by two independent reviewers.
Main Results:
- Evidence indicates tonometers can transmit infectious diseases in vitro.
- Significant variability exists in the effectiveness of tonometer sterilization techniques.
- Limited direct evidence on transmission of HIV, Hepatitis B, C, and prion diseases.
Conclusions:
- Current tonometer disinfection methods show inconsistent efficacy.
- Identifying the most effective sterilization technique remains challenging.
- Further research is crucial for evidence-based infection control guidelines in tonometry.
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