Infection prevention and ultrasound probe decontamination practices in Europe: a survey of the European Society of Radiology

Nyhsen, Christiane; Humphreys, Hilary; Nicolau, Carlos; Mostbeck, G.; Claudon, M.

doi:10.1007/s13244-016-0528-z

Cited by 31 publications

(35 citation statements)

References 38 publications

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“…Im Jahr 2016 wurde eine europaweite Umfrage der European Society of Radiology veröffentlicht, die unter ihren Mitgliedern die Infektionsprävention bei Ultraschalluntersuchungen erhob [11]. Auch hier zeigten sich große Unterschiede bei den Rückmeldungen.…”

Section: Diskussionunclassified

So wird die Feinnadelpunktion der Schilddrüse in Österreich durchgeführt – die Ergebnisse einer landesweiten Umfrage

Zettinig

Buchinger²,

Krebs

2018

J. Klin. Endokrinol. Stoffw.

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Section: Diskussionunclassified

So wird die Feinnadelpunktion der Schilddrüse in Österreich durchgeführt – die Ergebnisse einer landesweiten Umfrage

Zettinig

Buchinger²,

Krebs

2018

J. Klin. Endokrinol. Stoffw.

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“…In a European survey of over 1000 respondents, 11% reported not using a probe cover for every endocavitary ultrasound examination, while 69% and 9% reported using LLD and HLD, respectively. Moreover, 11% declared they cleaned the probe at the end of the session only, without any further cleaning procedure between two TVS scans 6 . In contrast, in a recently-published national questionnaire survey in the USA, most (96%) infection preventionists declared adequate compliance with HLD after endocavitary scan in their facility 9 .…”

Section: Discussionmentioning

confidence: 99%

Transvaginal ultrasound probes are human papillomavirus‐free following low‐level disinfection: cross‐sectional multicenter survey

Heard

Roueli

Lafourcade

et al. 2019

Ultrasound in Obstet & Gyne

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Objectives To assess the frequency of detection of high‐risk human papillomavirus (hrHPV) on transvaginal ultrasound (TVS) probes and keyboards and evaluate operator compliance with national recommendations for prevention of cross‐infection during TVS. Methods This was a multicenter observational survey involving 46 public and private centers, in the Paris region of France, in which at least five consecutive TVS examinations were performed per day. We audited 676 TVS procedures. We recorded preventive hygiene actions undertaken by the operator at three stages: (1) during TVS; (2) during probe disinfection; and (3) during preparation of the probe for the next TVS. After probe disinfection, we collected one sample from the bare probe and one from the ultrasound keyboard; following probe preparation for the next examination, an additional sample was obtained from the covered probe. The samples were tested for presence of hrHPV DNA using the Cobas® 4800 System. Results We did not detect hrHPV DNA in samples collected from uncovered or covered probes (0%; 95% CI, 0.00–0.55%). Keyboard samples were positive for hrHPV in two cases (0.3%; 95% CI, 0.04–1.07%). During TVS, the operator avoided touching the keyboard with a hand that had touched the patient's vulva in 86% of cases and held the probe with a gloved hand in 68%. Before probe disinfection, the operator wore new gloves, or performed hand disinfection in 8% of cases. The probe disinfection technique used was adequate in 87% of cases, not performed at all in 12% and insufficient in 1%. Before preparing the probe for the next scan, the operators disinfected their hands or used new gloves in 81% of cases. The probe cover and the coupling gel used complied with recommendations in 98% and 46% of cases, respectively. Of the seven preventive hygiene actions recommended in national guidelines, all were performed in 2%, three to six in 95% and two in 3% of observations. In four (9%) centers, disinfection was not performed in over half the observations. Conclusions No evidence of hrHPV DNA was found on TVS probes and probe covers following low‐level disinfection, despite suboptimal compliance with hygiene guidelines. Routine TVS practice could be made easier and safer with a global approach to probe disinfection and hand hygiene. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.

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“…Because adequate ultrasound imaging requires good transducer-toskin contact (or endocavitary or other intracorporeal positioning of a transducer), the potential exists for transmission of infection between patients via transducers. 39,40 Ultrasound gel is another potential means for infection transmission, especially if multi-use gel dispensers are utilised. 39,40 It has been shown that bacterial contamination of ultrasound transducers is significantly higher than that of bus poles and public toilet seats.…”

Section: Ultrasound Infection Preventionmentioning

confidence: 99%

“…39,40 Ultrasound gel is another potential means for infection transmission, especially if multi-use gel dispensers are utilised. 39,40 It has been shown that bacterial contamination of ultrasound transducers is significantly higher than that of bus poles and public toilet seats. 40,41 Survival times for some viruses, bacteria and fungi on dry inert surfaces (including transducer surfaces) can be up to several months, or even longer if the surface is contaminated with coexistent organic material.…”

Section: Ultrasound Infection Preventionmentioning

confidence: 99%

“…40 A recent survey of European practices regarding ultrasound probe cleaning and decontamination, probe cover and sterile gel use found wide variation among respondents, with no uniformity of approach. 39 Accordingly, the Ultrasound Working Group of ESR published a set of recommendations in 2017 aimed at providing ultrasound users with a set of standards for ultrasound transducer decontamination, use of transducer covers and gel. 40 These are aimed at minimising the potential risks to patients from ultrasound studies and procedures.…”

Section: Ultrasound Infection Preventionmentioning

confidence: 99%

See 1 more Smart Citation

Patient safety in medical imaging: A joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS)

2019

Radiography

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a b s t r a c tThe fundamental professional roles of radiographers and radiologists are focused on providing benefit to patients with our skills, while maintaining their safety at all times. There are numerous patient safety issues in radiology which must be considered. These encompass: protection from direct harm arising from the techniques and technologies we use; ensuring physical and psychological well-being of patients while under our care; maintaining the highest possible quality of service provision; and protecting the staff to ensure they can deliver safe services. This paper summarises the key categories of safety issues in the provision of radiology services, from the joint perspectives of radiographers and radiologists, and provides references for further reading in all major relevant areas. This is a joint statement of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS), published simultaneously in Insights into Imaging [DOI: https://doi.org/10.1186/s13244-019-0721-y] and Radiography [

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Infection prevention and ultrasound probe decontamination practices in Europe: a survey of the European Society of Radiology

Cited by 31 publications

References 38 publications

So wird die Feinnadelpunktion der Schilddrüse in Österreich durchgeführt – die Ergebnisse einer landesweiten Umfrage

So wird die Feinnadelpunktion der Schilddrüse in Österreich durchgeführt – die Ergebnisse einer landesweiten Umfrage

Transvaginal ultrasound probes are human papillomavirus‐free following low‐level disinfection: cross‐sectional multicenter survey

Patient safety in medical imaging: A joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS)

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