title: Aurioscope earpieces--a potential vector of infection?
abstract: OBJECTIVE
  to determine whether non disposable aurioscope earpieces used in community paediatric clinics harbored pathogenic micro-organisms, and to explore primary pediatrician perception of the possibility of cross infection from contaminated aurioscope earpieces and of how their aurioscope earpieced are cleaned.
  
  
  METHODS
  randomized survey.
  
  
  METHODS
  four community pediatric clinics.
  
  
  METHODS
  42 pediatricians' aurioscope earpieces were cultured on blood agar and mannitol-salt-agar plates by two methods: (1) The earpieces were rolled for 5 s onto blood agar plates (TSA + 5% sheep blood, and a mannitol-salt-agar-plate). (2) The entire surface of the earpiece was swabbed with a sterile cotton tipped applicator moistened in sterile saline solution and was inoculated immediately onto a blood agar plate, and a mannitol-salt-agar-plate. The plates were incubated at 37 degrees C for 48 h and examined for colony growth at 24 and 48 h of incubation. Culture results were recorded as mean numbers of colony-forming units (CFUs).
  
  
  RESULTS
  36 from 42 (86%) of the aurioscope earpieces were colonized by micro-organisms. Heavily contaminated earpieces were found in six (14%). Staphylococci were isolated from 27 (64%) of the earpieces: 19 (45%) being Staphylococci aureus coagulase positive, 4 (9%) were methicillin resistant S. aureus (MRSA).
  
  
  CONCLUSIONS
  Non disposable earpieces can harbor potentially pathogenic bacteria including MRSA. The increased trend for children with immunodeficiency to be managed in an ambulatory setting, often by physicians who also work in hospital, might be a risk of spreading potentially serious infections to such patients. Non disposable earpieces should be regularly disinfected to minimize the spread of infection.
authors.affiliation: Pediatric Ambulatory Centre, Department of Family Medicine, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, Israel.
authors.forename: H A
authors.initials: HA
authors.lastname: Cohen
authors.forename: H
authors.initials: H
authors.lastname: Liora
authors.forename: G
authors.initials: G
authors.lastname: Paret
authors.forename: E
authors.initials: E
authors.lastname: Lahat
authors.forename: G
authors.initials: G
authors.lastname: Kennet
authors.forename: A
authors.initials: A
authors.lastname: Barzilai
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D001419:Bacteria / Q000302:isolation & purification*; D001424:Bacterial Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D015169:Colony Count, Microbial; D003625:Data Collection; D004203:Disinfection / Q000379:methods; D004427:Ear Diseases / Q000175:diagnosis / Q000188:drug therapy; D004866:Equipment Contamination / Q000706:statistics & numerical data*; D017743:Equipment Reuse; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007557:Israel / Q000453:epidemiology; D008297:Male; D016106:Methicillin Resistance; D010036:Otolaryngology / Q000295:instrumentation* / Q000379:methods; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification; D011795:Surveys and Questionnaires