Introduction: The stethoscope, which is non-critical medical devices and a
symbol of healthcare, is likely to be contaminated by pathogenic
microorganisms and can play a contributory role in the transmission of
hospital-acquired infection. And regular cleaning of the diaphragm of the
stethoscope with a suitable disinfectant is decisive. However, in the
resource-constrained setting like many healthcare facilities in Ethiopia
healthcare provider’s stethoscope disinfection practice and its associated
factors have not been well studied so far. Therefore, this study sought to
determine stethoscope disinfection practice and associated factors among
the healthcare providers in Addis Ababa, Ethiopia. Methods: A
facility-based cross-sectional study was carried out between April and May
2016. For this study, 576 healthcare providers (physicians, health
officers, nurses, midwives, and anesthesiologist) were included from 21
healthcare facilities in Addis Ababa. A pre-tested structured
questionnaire was used for data collection. Descriptive statistics were
computed. Bivariate and multivariable logistic regression analyses were
used to identify factors that were significantly associated with
stethoscope disinfection after every use. Results: A total of 546
healthcare providers participated in this study, for a response rate of
94.7%. Two-fifths, 39.7% (95%CI: 35.9, 44.0%) of healthcare providers
disinfecting their stethoscope after every use. And a significant number
of participants 34.6% (95%CI: 30.8, 38.5%) never disinfect their
stethoscope. Three out of four (76.0%) healthcare providers believe that
stethoscope contamination can contribute to the transmission of
infections. Safe infection prevention practice (AOR = 3.79, 95%CI:
2.45–5.84), awareness on infection prevention guideline (AOR = 1.93;
95%CI: 1.31, 2.82), and favorable attitude towards infection prevention
(AOR = 1.73, 95%CI: 1.02, 2.93) were significantly associated with
stethoscope disinfection after every use. The study also found that the
odds of stethoscope disinfection were likely to be reduced by 79% among
physicians than nurses (AOR = 0.21; 95%CI: 0.09, 0.49).Conclusions: Only a
small proportion of healthcare providers disinfect their stethoscopes
after every use. Factors such as safe infection prevention practice,
awareness on infection prevention guidelines, and favorable attitude
towards infection prevention were the independent predictors of
stethoscopes disinfection after every use. Hence, promotion of stethoscope
hygiene along with an educational program to enhance disinfection
compliance in healthcare facilities may have a positive effect. Stethoscope disinfection
in EthiopiaSPSS data on stethoscope
disinfectionStethoscope
disinfection_Data.sav