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一项临床研究,旨在评估一种新型一次性听诊器套的安全有效使用情况,以减少听诊过程中的病原体传播。

A clinical study to evaluate the safe and effective use of a new, single use stethoscope cover to enable reduction in pathogen transmission during auscultation.

作者信息

Nazari-Shafti Timo Z, Meyborg Heike, Iske Jasper, Schloss Maximilian, Seeber Fabian, Friedrich Aljona, Exarchos Vasileios, Richter Anja, Falk Volkmar, Emmert Maximilian Y

机构信息

Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany.

Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

出版信息

Front Med (Lausanne). 2023 Jun 22;10:1179145. doi: 10.3389/fmed.2023.1179145. eCollection 2023.

Abstract

OBJECTIVES

Stethoscopes carry a significant risk for pathogen transmission. Here, the safe use and performance of a new, non-sterile, single-use stethoscope cover (SC), that is impermeable for pathogens, was investigated by different healthcare professionals (HCPs) in the postoperative care setting of an intensive care unit (ICU).

METHODS

Fifty-four patients underwent routine auscultations with the use of the SC (Stethoglove, Stethoglove GmbH, Hamburg, Germany). The participating HCPs ( = 34) rated each auscultation with the SC on a 5-point Likert scale. The mean ratings of acoustic quality and the SC handling were defined as primary and secondary performance endpoint.

RESULTS

534 auscultations with the SC were performed (average 15.7/user) on the lungs (36.1%), the abdomen (33.2%), the heart (28.8%), or other body-sites (1.9%). No adverse device-effects occurred. The acoustic quality was rated at 4.2 ± 0.7 (mean) with a total of 86.1% of all auscultations being rated at least as 4/5, and with no rating as below 2. The SC handling was rated at 3.7 ± 0.8 (mean) with a total of 96.4% of all auscultations being rated at least 3/5.

CONCLUSION

Using a real-world setting, this study demonstrates that the SC can be safely and effectively used as cover for stethoscopes during auscultation. The SC may therefore represent a useful and easy-to-implement tool for preventing stethoscope-mediated infections.: EUDAMED no. CIV-21-09-037762.

摘要

目的

听诊器存在病原体传播的重大风险。在此,由不同医疗保健专业人员(HCPs)在重症监护病房(ICU)的术后护理环境中,对一种新型、非无菌、一次性使用且能防止病原体渗透的听诊器罩(SC)的安全使用和性能进行了调查。

方法

54例患者使用SC(听诊手套,德国汉堡的Stethoglove GmbH公司生产)进行常规听诊。参与的HCPs(共34人)对每次使用SC的听诊按照5级李克特量表进行评分。声学质量和SC操作的平均评分被定义为主要和次要性能终点。

结果

使用SC进行了534次听诊(平均每人15.7次),听诊部位包括肺部(36.1%)、腹部(33.2%)、心脏(28.8%)或其他身体部位(1.9%)。未发生不良器械效应。声学质量评分为4.2±0.7(平均值),所有听诊中有86.1%的评分至少为4/5,且无评分低于2分。SC操作评分为3.7±(平均值),所有听诊中有96.4%的评分至少为3/5。

结论

本研究通过实际应用场景表明,SC在听诊过程中可安全有效地用作听诊器罩。因此,SC可能是预防听诊器介导感染的一种有用且易于实施的工具。:EUDAMED编号CIV-21-09-037762。

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