Imperative to put in place control guidelines and educate clinicians on the outcomes of not ensuring safety.
Standard cleaning methods do not eliminate the problems. Practitioner stethoscopes are contaminated by a plethora of bacteria, including organisms that may be associated with nosocomial infections.
Speaking about this, Padma Shri Awardee, Dr. KK Aggarwal, President, HCFI, the instrument, both patients and healthcare workers may not take it as a transmitter of bloodborne pathogens or a vector of infection. However, the truth is far from this. Some of these pathogens include Staphylococcus aureus, Pseudomonas aeruginosa, Clostridium difficile, and vancomycin-resistant enterococci.
These are responsible for many diseases such as pneumonia, urinary tract infections (UTIs), and skin infections, some of which can be life-threatening. Patients and at times, even hospital staff, fail to follow certain basic hygiene protocols which can go a long way in preventing these infections. This is further exacerbated by the fact that there is no specific documentation of HAI incidence.
Studies have also concluded that the diaphragm of the stethoscope is more contaminated than other regions of the hand, including the skin around the base of the thumb and little finger, or the back of the hand.
Adding further, Dr. Aggarwal said that They should conduct a cleanliness check between each patient encounter. Cleaning hands and ensuring other forms of hygiene is also an important.
Some tips from HCFI
Stethoscopes can be cleaned using a combination of 90% ethanol, isopropyl alcohol (IPA), and chlorhexidine. It will help in reducing the bacterial contamination of diaphragm of the stethoscope.
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