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A novel approach to stethoscope hygiene: A coat-pocket innovation
Gabriele Messina1, Giuseppe Spataro2, Daniele Rosadini2
1Department of Molecular and Developmental Medicine, University of Siena, via Aldo Moro 2, 53100 Siena, Italy; Post Graduate School of Public Health, University of Siena, via Aldo Moro 2, 53100 Siena, Italy.
Background:
The stethoscope is the most widely used instrument in healthcare. Studies have found similar rates of contamination on the stethoscope diaphragm and on physician fingertips after a single examination. Our aim was to test the effectiveness of an innovative portable device for disinfecting stethoscope membranes.
Methods:
From November 2016 to May 2017, a cross-sectional study was conducted in four wards of a private clinic: General Ward (GW), Internal Medicine Ward (IMW), Post-Operative Observation Ward (POW) and Permanent Vegetative State Ward (PVSW). Five wearable medical devices, designed to disinfect stethoscope membranes automatically by means of UV-C radiation, were provided to operators. Spot checks were made for microbial counts of stethoscope membranes, classified as treated or otherwise on the basis of whether they were found coupled or otherwise with the devices. The percentage reduction in colony forming units (CFU) was calculated between the two groups.
Results:
The number of tests of stethoscopes treated with the device was 116 out of 272. Untreated samples had a mean contamination of 132.2 CFU versus 6.9 CFU of treated samples: a 94.8% reduction (95% CI 91.3%-97.7). Highly significant statistical differences in CFU were found between untreated and treated membranes (p < 0.001). In particular, microbial contamination showed a reduction of 88.7% (CI 77.5%-96.05%) in PVSW, 95.9% (CI 88.2%-98.5%) in GW, 84.5% (CI 76.4%-90.5%) in IMW and 95.8% (CI 90.3%-98.1%) in POW.
Conclusion:
The devices proved effective and efficient in reducing the microbial load of stethoscope membranes. Wearing the device on the coat may act as a reminder of the need for hygiene.
Insights
A new portable UV-C device significantly reduced stethoscope membrane contamination by 94.8%. This innovative tool enhances healthcare hygiene by effectively disinfecting medical instruments, promoting patient safety.
Area of Science:
- Medical Microbiology
- Infection Control
- Biomedical Engineering
Background:
- Stethoscopes are essential healthcare tools frequently contaminated with microbes.
- Contamination levels on stethoscope diaphragms mirror those on healthcare worker fingertips.
- There is a need for effective methods to disinfect stethoscope membranes.
Purpose of the Study:
- To evaluate the efficacy of a novel portable device for disinfecting stethoscope membranes.
- To assess the reduction in microbial contamination using UV-C radiation.
Main Methods:
- A cross-sectional study was conducted in four hospital wards.
- Five wearable UV-C disinfecting devices were used on stethoscope membranes.
- Microbial colony-forming units (CFU) were quantified on treated and untreated stethoscope membranes.
Main Results:
- Treated stethoscope membranes showed a 94.8% reduction in CFU compared to untreated membranes.
- Significant statistical differences (p < 0.001) were observed in microbial load.
- Reductions ranged from 84.5% to 95.9% across different hospital wards.
Conclusions:
- The portable UV-C devices are effective and efficient in reducing stethoscope membrane microbial load.
- The use of these devices can contribute to improved healthcare hygiene practices.
- Wearing the device may serve as a constant reminder for hygiene maintenance.
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