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Assessing changes in stethoscope hygiene during COVID-19: a multi-centre cross-sectional study
R S Vasudevan1, M A Nedjat-Haiem2, A Mahadevan3
1Department of Medicine, University of California San Diego School of Medicine, La Jolla, CA, USA.
Stethoscope hygiene practices significantly improved during the COVID-19 pandemic, with optimal cleaning increasing. However, about half of healthcare providers still do not practice optimal stethoscope hygiene, especially early-career physicians.
Area of Science:
- Infection Control
- Healthcare Epidemiology
- Medical Device Hygiene
Background:
- The COVID-19 pandemic heightened infection control awareness.
- Stethoscopes pose a risk for pathogen transmission.
- Pandemic-related changes in stethoscope hygiene were previously uncharacterized.
Purpose of the Study:
- To assess shifts in healthcare provider stethoscope hygiene practices.
- To compare pre-pandemic and during-pandemic hygiene behaviors.
Main Methods:
- A quantitative survey assessed stethoscope hygiene beliefs and practices.
- Healthcare providers from three major medical centers participated.
- Participants were categorized based on optimal hygiene performance (cleaning after every patient).
Main Results:
- Optimal stethoscope hygiene increased from 27.4% to 55.0% during the pandemic (P < 0.001).
- Knowledge of stethoscope contamination and belief in its significance significantly increased (P < 0.001).
- Resident physicians were less likely to adopt optimal hygiene compared to attending physicians and nurses (P < 0.001).
Conclusions:
- Stethoscope hygiene improved during the COVID-19 pandemic.
- Optimal hygiene practices remain suboptimal in approximately half of providers.
- Targeted educational interventions for early-career providers are recommended.
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