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Related Experiment Videos

Stethoscopes: a potential vector of infection?

J S Jones1, D Hoerle, R Riekse

  • 1Department of Emergency Medicine, Butterworth Hospital, Michigan State University College of Human Medicine, Grand Rapids, USA.

Annals of Emergency Medicine
|September 1, 1995
PubMed
Summary

Stethoscopes in emergency care are frequently contaminated with staphylococci, posing an infection risk. Regular cleaning with alcohol or nonionic detergent significantly reduces this bacterial contamination.

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Area of Science:

  • Infection Control
  • Microbiology
  • Emergency Medicine

Background:

  • Stethoscopes are essential diagnostic tools in emergency settings.
  • Contaminated stethoscopes can act as vectors for pathogen transmission.
  • Staphylococcus carriage on stethoscopes is a concern for healthcare-associated infections.

Purpose of the Study:

  • To assess stethoscope cleaning practices among emergency care providers.
  • To determine the prevalence of Staphylococcus contamination on stethoscopes.
  • To correlate cleaning habits with the level of Staphylococcus carriage.

Main Methods:

  • Prospective cross-sectional study in a university-affiliated hospital emergency department.
  • Surveyed 150 healthcare providers (physicians, nurses, prehospital personnel) on cleaning habits.

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  • Cultured stethoscopes to identify Staphylococcus and quantify bacterial colony-forming units (CFUs).
  • Main Results:

    • 89% of stethoscopes showed Staphylococcus growth, with 19% yielding Staphylococcus aureus.
    • Only 48% of providers cleaned stethoscopes daily or weekly; 7% never cleaned them.
    • Alcohol swabs and nonionic detergent effectively reduced bacterial counts by 94% and 90%, respectively.

    Conclusions:

    • Stethoscopes in emergency practice are frequently contaminated with staphylococci.
    • Inadequate cleaning practices contribute to stethoscope contamination.
    • Frequent cleaning with alcohol or nonionic detergent significantly mitigates Staphylococcus contamination.