Nazari-Shafti Timo Z, Meyborg Heike, Iske Jasper, Schloss Maximilian, Seeber Fabian, Friedrich Aljona, Exarchos Vasileios, Richter Anja, Falk Volkmar, Emmert Maximilian Y
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.
Front Med (Lausanne). 2023 Jun 22;10:1179145. doi: 10.3389/fmed.2023.1179145. eCollection 2023.
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).
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.
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.
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.
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。
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。
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。
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。