Investigating stethoscope hygiene practices and bacterial contamination among medical trainees: an educational perspective

Abstract The stethoscope, crucial in medical diagnosis, links doctors and patients. With the threat of healthcare associated infections (HAIs), understanding stethoscope contamination and medical students’ awareness is imperative. This study conducted from September to December 2022, the research in...

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Main Authors: Mousa Ali, Mahdi Awwad, Mahmoud Eid, Ahmad Jawabreh, Fatema Abu-Tair, Abdalraziq Zarour, Ahmed Mousa, Mohammad Qadi, Ashraf R. Zayed, Abdulsalam Alkaiyat
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Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-07231-y
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author Mousa Ali
Mahdi Awwad
Mahmoud Eid
Ahmad Jawabreh
Fatema Abu-Tair
Abdalraziq Zarour
Ahmed Mousa
Mohammad Qadi
Ashraf R. Zayed
Abdulsalam Alkaiyat
author_facet Mousa Ali
Mahdi Awwad
Mahmoud Eid
Ahmad Jawabreh
Fatema Abu-Tair
Abdalraziq Zarour
Ahmed Mousa
Mohammad Qadi
Ashraf R. Zayed
Abdulsalam Alkaiyat
author_sort Mousa Ali
collection DOAJ
description Abstract The stethoscope, crucial in medical diagnosis, links doctors and patients. With the threat of healthcare associated infections (HAIs), understanding stethoscope contamination and medical students’ awareness is imperative. This study conducted from September to December 2022, the research involved 293 stethoscopes from three hospitals in the West Bank. Questionnaires probed students’ practices, and Staphylococcus spp isolations were analyzed. Contamination rates, bacterial species, associations with disinfection practices and other hospital factors were explored. Stethoscope contamination rate was high in the three hospitals (range: 26.5–50.8 CFU/cm2). Staphylococcus spp contaminated 36.9% of stethoscopes. Methicillin Resistant S. aureus (MRSA) and Vancomycin Resistant S. aureus (VRSA) occurred in 16.6% and 1.8% respectively. 36% exhibited resistance to two or more antibiotics. The study revealed significant findings regarding stethoscope contamination. Only 29.4% of stethoscopes used by those who disinfected between patients conformed to permissible contamination levels, in contrast to a markedly greater 60.7% among those who did not disinfect (P < 0.05). Reminders for disinfection in study units resulted in a 32.1% acceptable rate, whereas units without reminders had a significantly higher 67.9% rate (P < 0.001). Stethoscope usage also played a role, with a 34.4% acceptable rate for those examining only patients, compared to a significantly higher 65.8% rate for those examining both patients and peers (P < 0.05). Additionally, significant differences were observed in hospital, rotation, year-wise, disinfection frequency, and the presence of reminders. Improving stethoscope disinfection practices is crucial to improving patient safety and infection control. Recommendations include the implementation of standard protocols, the use of effective disinfectants, the education of health professionals and the integration of routine disinfection into workflows. These measures significantly reduce hospital infections and promote a safety culture, promoting patient confidence and improving health results.
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spelling doaj-art-b32b78bbceb149798b91dc5e329ba7812025-08-20T03:03:40ZengNature PortfolioScientific Reports2045-23222025-07-0115111210.1038/s41598-025-07231-yInvestigating stethoscope hygiene practices and bacterial contamination among medical trainees: an educational perspectiveMousa Ali0Mahdi Awwad1Mahmoud Eid2Ahmad Jawabreh3Fatema Abu-Tair4Abdalraziq Zarour5Ahmed Mousa6Mohammad Qadi7Ashraf R. Zayed8Abdulsalam Alkaiyat9Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National UniversityDepartment of Biomedical Sciences, Faculty of Medicine and Health Sciences, An-Najah National UniversityDepartment of Biomedical Sciences, Faculty of Medicine and Health Sciences, An-Najah National UniversityDepartment of Biomedical Sciences, Faculty of Medicine and Health Sciences, An-Najah National UniversityDepartment of Biomedical Sciences, Faculty of Medicine and Health Sciences, An-Najah National UniversityDepartment of Biomedical Sciences, Faculty of Medicine and Health Sciences, An-Najah National UniversityAbstract The stethoscope, crucial in medical diagnosis, links doctors and patients. With the threat of healthcare associated infections (HAIs), understanding stethoscope contamination and medical students’ awareness is imperative. This study conducted from September to December 2022, the research involved 293 stethoscopes from three hospitals in the West Bank. Questionnaires probed students’ practices, and Staphylococcus spp isolations were analyzed. Contamination rates, bacterial species, associations with disinfection practices and other hospital factors were explored. Stethoscope contamination rate was high in the three hospitals (range: 26.5–50.8 CFU/cm2). Staphylococcus spp contaminated 36.9% of stethoscopes. Methicillin Resistant S. aureus (MRSA) and Vancomycin Resistant S. aureus (VRSA) occurred in 16.6% and 1.8% respectively. 36% exhibited resistance to two or more antibiotics. The study revealed significant findings regarding stethoscope contamination. Only 29.4% of stethoscopes used by those who disinfected between patients conformed to permissible contamination levels, in contrast to a markedly greater 60.7% among those who did not disinfect (P < 0.05). Reminders for disinfection in study units resulted in a 32.1% acceptable rate, whereas units without reminders had a significantly higher 67.9% rate (P < 0.001). Stethoscope usage also played a role, with a 34.4% acceptable rate for those examining only patients, compared to a significantly higher 65.8% rate for those examining both patients and peers (P < 0.05). Additionally, significant differences were observed in hospital, rotation, year-wise, disinfection frequency, and the presence of reminders. Improving stethoscope disinfection practices is crucial to improving patient safety and infection control. Recommendations include the implementation of standard protocols, the use of effective disinfectants, the education of health professionals and the integration of routine disinfection into workflows. These measures significantly reduce hospital infections and promote a safety culture, promoting patient confidence and improving health results.https://doi.org/10.1038/s41598-025-07231-yStethoscopeContaminationDisinfectionAn-Najah university
spellingShingle Mousa Ali
Mahdi Awwad
Mahmoud Eid
Ahmad Jawabreh
Fatema Abu-Tair
Abdalraziq Zarour
Ahmed Mousa
Mohammad Qadi
Ashraf R. Zayed
Abdulsalam Alkaiyat
Investigating stethoscope hygiene practices and bacterial contamination among medical trainees: an educational perspective
Scientific Reports
Stethoscope
Contamination
Disinfection
An-Najah university
title Investigating stethoscope hygiene practices and bacterial contamination among medical trainees: an educational perspective
title_full Investigating stethoscope hygiene practices and bacterial contamination among medical trainees: an educational perspective
title_fullStr Investigating stethoscope hygiene practices and bacterial contamination among medical trainees: an educational perspective
title_full_unstemmed Investigating stethoscope hygiene practices and bacterial contamination among medical trainees: an educational perspective
title_short Investigating stethoscope hygiene practices and bacterial contamination among medical trainees: an educational perspective
title_sort investigating stethoscope hygiene practices and bacterial contamination among medical trainees an educational perspective
topic Stethoscope
Contamination
Disinfection
An-Najah university
url https://doi.org/10.1038/s41598-025-07231-y
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