Aseptic Barriers Allow a Clean Contact for Contaminated Stethoscope Diaphragms.
B+, stethoscope diaphragms with disc barriers
BC, disc barriers colonized with microorganisms
B−, colonized diaphragms without disc barriers
CFU, colony-forming unit
Ctrl, control
ESBL, extended-spectrum β-lactamase–producing Escherichia coli
HAI, health care–associated infection
HP, health care provider
MDR, multidrug resistant
MDRO, multidrug-resistant organism
MRSA, methicillin-resistant Staphylococcus aureus
VRE, vancomycin-resistant Enterococcus
Journal
Mayo Clinic proceedings. Innovations, quality & outcomes
ISSN: 2542-4548
Titre abrégé: Mayo Clin Proc Innov Qual Outcomes
Pays: Netherlands
ID NLM: 101728275
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
18
09
2019
accepted:
15
10
2019
entrez:
15
2
2020
pubmed:
15
2
2020
medline:
15
2
2020
Statut:
epublish
Résumé
To determine whether a single-use stethoscope diaphragm barrier surface remains aseptic when placed on pathogen-contaminated stethoscopes. From May 31 to August 5, 2019, we tested 2 separate barriers using 3 different strains of 7 human pathogens, including extended-spectrum β-lactamase-producing For all diaphragms with either of the 2 barriers tested, no growth was recorded for any of the pathogens. Stethoscopes with aseptic barriers remained sterile for up to 24 hours. These single-use barriers also provided aseptic surfaces when stethoscope diaphragms were inoculated with human specimens, including saliva, stool, urine, and sputum. Disposable aseptic diaphragm barriers may provide robust and efficient solutions to reduce transmission of pathogens via stethoscopes.
Identifiants
pubmed: 32055768
doi: 10.1016/j.mayocpiqo.2019.10.010
pii: S2542-4548(19)30188-2
pmc: PMC7010972
doi:
Types de publication
Journal Article
Langues
eng
Pagination
21-30Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2020 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc.
Références
Nat Protoc. 2008;3(2):163-75
pubmed: 18274517
Front Public Health. 2018 Aug 30;6:235
pubmed: 30214898
Arch Intern Med. 1997 Apr 14;157(7):786-90
pubmed: 9125011
Med Devices (Auckl). 2014 Aug 14;7:273-81
pubmed: 25152636
Mayo Clin Proc. 2014 Mar;89(3):291-9
pubmed: 24582188
Am J Infect Control. 2017 Jul 1;45(7):811-812
pubmed: 28668135
Infect Control Hosp Epidemiol. 2005 Jul;26(7):650-3
pubmed: 16092747
Am J Infect Control. 2012 Dec;40(10):922-5
pubmed: 22475570
Infect Control Hosp Epidemiol. 2018 Dec 18;:1-7
pubmed: 30560753
Am J Infect Control. 2007 Dec;35(10 Suppl 2):S65-164
pubmed: 18068815
J Hosp Infect. 2003 Nov;55(3):236-7
pubmed: 14572494
Infect Control Hosp Epidemiol. 2013 Nov;34(11):1189-93
pubmed: 24113603
Cochrane Database Syst Rev. 2017 Sep 01;9:CD005186
pubmed: 28862335
Bratisl Lek Listy. 2005;106(11):348-50
pubmed: 16541619
Ann Emerg Med. 1995 Sep;26(3):296-9
pubmed: 7661417
J Hosp Infect. 2009 Apr;71(4):376-8
pubmed: 19201052
Lancet Infect Dis. 2006 Oct;6(10):641-52
pubmed: 17008173
BMJ. 1992 Dec 19-26;305(6868):1573-4
pubmed: 1286393
MMWR Recomm Rep. 2002 Oct 25;51(RR-16):1-45, quiz CE1-4
pubmed: 12418624
Anaesthesia. 2009 Jun;64(6):620-4
pubmed: 19453315
Sci Transl Med. 2018 Aug 1;10(452):
pubmed: 30068573
Am J Infect Control. 2019 Mar;47(3):234-237
pubmed: 30415805
J Hosp Infect. 2015 Sep;91(1):1-7
pubmed: 26092471
Sci Transl Med. 2017 May 24;9(391):
pubmed: 28539477
Trends Mol Med. 2015 Jul;21(7):427-32
pubmed: 25907678
Am J Infect Control. 2017 Jun 1;45(6):642-647
pubmed: 28302430
Am J Infect Control. 2007 May;35(4):263-6
pubmed: 17482998
J Hosp Infect. 2007 Jun;65 Suppl 2:55-7
pubmed: 17540243
Am J Infect Control. 2016 Feb;44(2):160-6
pubmed: 26521700
Int J Qual Health Care. 1999 Jun;11(3):187-92
pubmed: 10435838
Infect Control Hosp Epidemiol. 1999 Sep;20(9):626-8
pubmed: 10501265
Lancet. 2000 Oct 14;356(9238):1307-12
pubmed: 11073019
PLoS One. 2013;8(3):e58112
pubmed: 23555568
Am J Infect Control. 2015 Oct 1;43(10):e61-6
pubmed: 26254501
Infect Control Hosp Epidemiol. 2016 Jun;37(6):673-9
pubmed: 27198604
Am J Med. 1981 Feb;70(2):398-404
pubmed: 7008588
N Engl J Med. 2018 Nov 1;379(18):1732-1744
pubmed: 30380384