Frequency Of Awareness And Practice Of Stethoscope Hygiene With Regards To Guide Line Among Medical Students, Residents And Doctors In Karachi
DOI:
https://doi.org/10.51985/JBUMDC2018008Keywords:
Mediations, HAIs, Hygienic, SwabAbstract
ABSTRACT:
Objective: The objective of the study was to identify “implications” of guidelines provided to participants at the end
of a survey for improvement in stethoscope hygiene.
Methodology: A cross sectional survey was conducted from January to March 2016 in which a questionnaire was
designed to know the awareness of stethoscope hygiene among health care practitioners. The questionnaire was
distributed to 150 consented participants, out of which 138 complete (92%) responses [49, (32%) attending physicians,
50(33%) residents and 39(26%) medical students]; comprising of 84 (61%) females and 54 (39%) males was acquired.
The responses included following consulting clinics (n=30, 22%), wards (n=41, 30%), intensive care units (n=41,
30%) and acute care units (n=26, 18%). At the end of the survey practicing guidelines were discussed and hard copy
given to respondents. They were then asked to tell about to the impact of these guide lines on their measures to
maintain stethoscope hygiene
Results: It was observed that health care practioners consented to start stethoscope cleaning at the start of every
clinic, 33.3% showed their intentions for educating others by verbal instructions, and 66.7% were said they will
recommend alcohol swab for cleaning of stethoscope.
Conclusion: The survey on stethoscope hygiene with practicing guidelines reflects the awareness generated in the
respondents. It is further expected that they will disseminate the information and educate others to consider importance
of stethoscope sanitation and practice its hygiene
References
Zuliani Maluf M.E., Maldonado F.A., Bercial M.E., Pedroso S.A.Stethoscope: a Friend or an Enemy? Sao Paulo Medical Journal. 2002; 120(1): 13-5 http:// dx.doi.org/ 10.1590/ S1516- 31802002000100004
Vincent J.L.Nosocomial Infections in Adult Intensive Care Units. Lancet. 2003; 361(9374): 2068-77. https:// doi.org/ 10.1016/ S0140-6736(03)13644-6
PatentStorm. US Patent Issued in 2004. "Disposable Cover for Stethoscope Head." Retrieved June 15, 2008. http:// www.freepatentsonline.com/ 5747751.html
Rizvi MF, Hasan Y, Abdullah M, Rizvi MF, Saleem S, et al.
Frequency Of Awareness And Practice Of Stethoscope Hygiene
Pattern of nosocomial infection in two intensive care units of a tertiary care hospital in Karachi. J Coll Physicians Surg Pak. 2007; 17: 136-9.
Nunez S, Moreno A, Green K, Villar J. The stethoscope in the emergency department: A vector of infection? Epidemiol Infect. 2000; 124(2):233–237
Kocur M, Kloos WE, Schleifer KH. (2006). The Genus Micrococcus. In Dworkin M, Falkow S, Rosenberg E, Stackebrandt E. Eds(3rd edition), The Prokaryotes; Springer, New york pp. 961-971
Merchant AT, Jones C, Kiure A, Kupka R, Fitzmaurice G, et al. Water and sanitation associated with improved child growth. Eur J Clin Nutr.2003,57:1562–68
Wood MW, Lund RC, Stevenson KB. Bacterial contamination of stethoscopes with antimicrobial diaphragm covers. Am J Infect Control. 2007;35:263–266.
Sjoberg S, Eriksson M. Hand disinfectant practice: the impact of an education intervention. Open Nurs J. 2010;4:20–4
Allegranzi B, Bagheri Nejad S, Graafmans W, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet. 2011;377:228–241
Kober P, Labes H, Moller H, et al. Hygiene status of ambulances and equipment in rescue services. Anasthesio Intensivmed Notfallmed Schmerzther. 2001; 36(1):25–30.
"Stethoscope." How Products Are Made. . Retrieved January 15, 2018 from Encyclopedia.com
Jürgen L. Holleck, Naseema Merchant, Shin Lin, Shaili Gupta. Can education influence stethoscope hygiene? Am J Infect control. 2017; 45 (7): 811-12 DOI: 10.1016/ j.ajic. 2017.02. 004
Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet. 2000; 356(9238): 1307-12
Uneke CJ, Ogbonna A, Oyibo PG, Ekuma U. Bacteriological assessments of stethoscopes used by medical students in Nigeria: implications for nosocomial infection control. World Health Popul. 2008;10:53-61
Lecat P, Cropp E, McCord G, Haller NA. Ethanol-based cleanser versus isopropyl alcohol to decontaminate stethoscopes. Am J Infect Control. 2009; 37:241–243 Doi: 10.1016/ j.ajic.2008.08.006
Burrie N.A. Stethoscopes as vectors of infections. Australian Medical Student Journal. 2011,2: 32-35
Nichols A, Badger B. An investigation of the division between espoused and actual practice in infection control and of the knowledge sources that may underpin this division. Br J Infect Contr. 2008;9(4):11-5
Africa-Purino FMC, Dy EER, Coronel RF. Stethoscopes: a potential source of nosocomial infections. Phil J Microbiol Infect Dis. 2000;29(2):9-13
Pratt R, Pellowe C, Wilson J, Loveday H, Harper P, Jones S, et al. epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect. 2007;65:S1-S59
Hunt D, Mohammudally A, Stone S, Dacre J. Hand hygiene behavior, attitudes, and beliefs in first year clinical medical students. J Hosp Infec. 2005;59(4):371-3
Gaskin PRA, Owens SE, Talner NS, Sanders SP, Li JS. Clinical auscultation skills in pediatric residents. Pediatrics .2000; 105:1184-7.
Rehman R, Ahmed K, Ali SM, Raza A, Rana Z. Stethoscope as vector of hospital infections. J Pak Med Assoc 2018; 68 (2):329-330
Whittington AM, Whitlow G, Hewson D, Thomas C, Brett S
J. Bacterial contamination of stethoscopes on intensive care unit. Anaesthesia.2009; 64: 620-624
SaunderC, Hryhorskyj L, SkinnerJ, Factors influencing stethoscope cleanliness among clinical students. J Hosp infect 2013;84:242-244
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Copyright (c) 2018 Khalid Ahmed, Saifullah Shaikh, Rehana Rehman, Salwa Mansur Ali
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