Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-22T23:24:09.243Z Has data issue: false hasContentIssue false

Bacterial Contamination of Hospital Physicians' Stethoscopes

Published online by Cambridge University Press:  02 January 2015

Louis Bernard*
Affiliation:
Hôpital Saint Joseph, Paris, France
Anne Kereveur
Affiliation:
Hôpital Saint Joseph, Paris, France
Dominique Durand
Affiliation:
Hôpital Saint Joseph, Paris, France
Jeanne Gonot
Affiliation:
Hôpital Saint Joseph, Paris, France
Fred Goldstein
Affiliation:
Hôpital Saint Joseph, Paris, France
Jean Luc Mainardi
Affiliation:
Hôpital Saint Joseph, Paris, France
Joseph Acar
Affiliation:
Hôpital Saint Joseph, Paris, France
Jean Carlet
Affiliation:
Hôpital Saint Joseph, Paris, France
*
Service des Maladies Infectieuses et Tropicales, Hôpital Raymond-Poincaré, 104, boulevard Raymond-Poincaré, 92380 Garches, France

Abstract

Because stethoscopes might be potential vectors of nosocomial infections, this study, conducted in a 450-bed general hospital, was devised to evaluate the bacterial contamination of stethoscopes; bacterial survival on stethoscope membranes; the kinetics of the bacterial load on stethoscope membranes during clinical use; and the efficacy of 70% alcohol or liquid soap for membrane disinfection. Among the 355 stethoscopes tested, 234 carried ≥2 different bacterial species; 31 carried potentially pathogenic bacteria. Although some bacteria deposited onto membranes could survive 6 to 18 hours, none survived after disinfection.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Centers for Disease Control. Public health focus: surveillance, prevention, and control of nosocomial infections. MMWR 1992;41:783787.Google Scholar
2. Breathnach, AS, Jenkins, DR, Pedler, S. Stethoscopes as possible vectors of infection by staphylococci. BMJ 1992;305:15731574.Google Scholar
3. Garner, TK, Rimland, E. Stethoscopes and infection. JAMA 1982;248:310.Google Scholar
4. Cohen, HA, Amir, J, Matalon, A, Mayan, R, Beni, S, Barzilai, A Stethoscopes and otoscopes–a potential vector of infection? Fam Pract 1997;14:446449.CrossRefGoogle ScholarPubMed
5. Mangi, RJ, Andriolc, VT. Contaminated stethoscopes: a potential source of nosocomial infections. Yale J Biol Med 1972;45:600604.Google Scholar
6. Redington, JJ, North, DS, Laxson, L, Clexton, M, Blankenship, D, Hongsermcier, C, Fitzgibbons, N. The stethoscope a forgotten MRSA fomite? Presented at the ICAAC; Anaheim, CA; October 11-14, 1992. Abstract 1162.Google Scholar
7. Smith, MA, Mathewson, JJ, Ulert, A, Scerpella, EG, Ericsson, CD. Contaminated stethoscopes revisited. Arch Intern Med 1996;156:8284.Google Scholar
8. Wright, I, Orr, H, Porter, C. Stethoscope contamination in the neonatal intensive care unit. J Hosp Infect 1995;29:6568.Google Scholar
9. Association Francaise de Normalisation. Antiseptiques et Desinfectants. 2nd ed. Paris La Defense, France: AFNOR Edition; 1989.Google Scholar
10. Jones, JS, Hoerle, D, Tiekse, R. Stethoscopes: a potential vector of infection? Ann Emerg Med 1995;26:296299.CrossRefGoogle ScholarPubMed
11. Marinella, MA, Pierson, C, Chenoweth, C. The stethoscope. A potential source of nosocomial infection? Arch Intern Med 1997;157:786790.Google Scholar
12. Larson, E. Guidelines for use of topical antimicrobial agents. Am J Infect Control 1988;16:253266.CrossRefGoogle Scholar