Frontiers in Medicine (Jun 2023)

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

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

DOI
https://doi.org/10.3389/fmed.2023.1179145
Journal volume & issue
Vol. 10

Abstract

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ObjectivesStethoscopes 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).MethodsFifty-four patients underwent routine auscultations with the use of the SC (Stethoglove®, Stethoglove GmbH, Hamburg, Germany). The participating HCPs (n = 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.Results534 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.ConclusionUsing 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.Study Registration: EUDAMED no. CIV-21-09-037762.

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