2017, Number 05-06
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Medicina & Laboratorio 2017; 23 (05-06)
Hygiene behaviors in the use of stethoscopes of students of a medicine program of the city of Tunja, Colombia
Torres-Ballesteros LA, Rodríguez-Sáenz AY, Mendieta-Vergara JA
Language: Spanish
References: 22
Page: 249-256
PDF size: 434.91 Kb.
ABSTRACT
Introduction: multiple investigations have shown that bacteria causing human infections colonize
stethoscopes. However, the reasons why these instruments are contaminated have not been defined.
Objective: To determine the hygiene behaviors that medicine students have in the use of stethoscopes.
Materials and methods: 50 medicine students were selected to complete a questionnaire with closed
questions, based on focus groups that allowed characterizing the intra and extrahospital behavior
of the stethoscope use. In addition, each participant student was asked for his stethoscope in order
to take samples of four parts of it, which were later culture on nutritive agar and characterized macroscopically
and microscopically by Gram staining.
Results: Of the 50 students, who completed the
questionnaire, 48% have never cleaned the stethoscope, 24% cleaned it with antiseptic alcohol, and 2%
cleaned before the patient’s evaluation. In 100% of the stethoscopes bacterial colonies were isolated,
mainly Gram-positive cocci, been diaphragm the most contaminated part of this instrument.
Conclusions:
inadequate behaviors were determined in the intra- and extra-hospital stethoscope use, as well
as lack of information for it adequate disinfection.
REFERENCES
Schabrun S, Chipchase L. Healthcare equipment as a source of nosocomial infection: a systematic review. J Hosp Infect 2006; 63: 239-245.
Organización Mundial de la Salud. Una atención más limpia es una atención más segura. Ginebra, Suiza: OMS. 2017. Disponible: http://www.who.int/ gpsc/background/es/. Consultado: jun 2017.
Baptista-González HA, Zamorano-Jiménez CA. Estetoscopio, bata y corbata, y el riesgo de infecciones nosocomiales. Rev Invest Med Sur Mex 2011; 18: 195-202.
Méndez Rodríguez IA, Calixto OJ, Becerra Cuervo WA, Vásquez JF, Bravo Ojeda JS, Pachón Barinas DP. Microorganismos presentes en fonendoscopios, manos, cavidad oral y nasal de estudiantes de una facultad de medicina. Rev Fac Med 2012; 20: 90- 100.
Otter JA, Yezli S, French GL. The role played by contaminated surfaces in the transmission of nosocomial pathogens. Infect Control Hosp Epidemiol 2011; 32: 687-699.
Shiferaw T, Beyene G, Kassa T, Sewunet T. Bacterial contamination, bacterial profile and antimicrobial susceptibility pattern of isolates from stethoscopes at Jimma University Specialized Hospital. Ann Clin Microbiol Antimicrob 2013; 12: 39.
Uneke CJ, Ogbonna A, Oyibo PG, Onu CM. Bacterial contamination of stethoscopes used by health workers: public health implications. J Infect Dev Ctries 2010; 4: 436-441.
Gopinath KG, Stanley S, Mathai E, Chandy GM. Pagers and stethoscopes as vehicles of potential nosocomial pathogens in a tertiary care hospital in a developing country. Trop Doct 2011; 41: 43-45.
Gupta N, Gandham N, Misra R, Jadhav S, Ujgare M, Vyawahare C. The potential role of stethoscopes as a source of nosocomial infection. Med J DY Patil Univ 2014; 7: 156-159.
Messina G, Fattorini M, Nante N, Rosadini D, Serafini A, Tani M, et al. Time Effectiveness of Ultraviolet C Light (UVC) Emitted by Light Emitting Diodes (LEDs) in Reducing Stethoscope Contamination. Int J Environ Res Public Health 2016; 13.
Parmar RC, Valvi CC, Sira P, Kamat JR. A prospective, randomised, double-blind study of comparative efficacy of immediate versus daily cleaning of stethoscope using 66% ethyl alcohol. Indian J Med Sci 2004; 58: 423-430.
Gazibara T, Radovanovic S, Maric G, Rancic B, Kisic- Tepavcevic D, Pekmezovic T. Stethoscope Hygiene: Practice and Attitude of Medical Students. Med Princ Pract 2015; 24: 509-514.
República de Colombia, Ministerio de Salud y Protección Social. Resolución número 8430 de 1993. 1993. Disponible: https://www.minsalud.gov.co/ sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION- 8430-DE-1993.PDF. Consultado: jun 2017.
Saunders C, Hryhorskyj L, Skinner J. Factors influencing stethoscope cleanliness among clinical medical students. J Hosp Infect 2013; 84: 242-244.
Singh DK, Cross DAR. Cross Sectional Study to Determine the Factors Associated with Stethoscope Hygiene Among the Health Care Providers in Tertiary Care Center. IJSR 2015; 4: 133-135.
Jain A, Shah H, Jain A, Sharma M. Disinfection of stethoscopes: Gap between knowledge and practice in an Indian tertiary care hospital. Ann Trop Med Public Health 2013; 6: 236-239.
República de Colombia, Ministerio de Salud y Protección Social, Instituto Nacional de Salud. Protocolo de Vigilancia en Salud Pública: Infecciones asociadas a dispositivos. 2016. Disponible: http:// www.ins.gov.co/lineas-de-accion/Subdireccion-Vigilancia/ sivigila/Protocolos%20SIVIGILA/PRO%20 Infecciones%20asociadas%20a%20dispositivos.pdf. Consultado: jun 2017.
Scheithauer S, Haefner H, Schwanz T, Lopez-Gonzalez L, Bank C, Schulze-Robbecke R, et al. Hand hygiene in medical students: performance, education and knowledge. Int J Hyg Environ Health 2012; 215: 536-539.
Bham G, Bhandari J, Neupane MR, Dawadi R, Pradhan P. Aerobic Bacteria in the Diaphragmatic Portion of Stethoscope of Medical Professionals of Tertiary Care Hospital. JNMA J Nepal Med Assoc 2015; 53: 166-168.
Rao DA, Aman A, Muhammad Mubeen S, Shah A. Bacterial contamination and stethoscope disinfection practices: a cross-sectional survey of healthcare workers in Karachi, Pakistan. Trop Doct 2017; 47: 226-230.
Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol 2016; 37: 1367-1373.
Maki DG. Stethoscopes and health care-associated infection. Mayo Clin Proc 2014; 89: 277-280.