•••quote:•••Originally posted by ckent:
•I shadowed some pediatricians in a private practice who didn't use disposable otoscope speculums, they didn't even wipe theirs down after seeing kids with ear infections. No wonder so many kids have ear infections, they probably get them from seeing their pediatricians.•••••The majority of children with "ear infections" have acute or chronic otitis media, whether serous, mucinous, or purulent. These are middle ear infections and come about due to the disproportionate number of URIs children have and due to anatomical differences in eustachian tube function in children when compared to adults. The organisms causing otitis media are common inhabitants of the nasopharyngeal mucosa and differ from the organisms causing otitis externa, which is what would be caused (if it at all could be) by "contaminated" specula being reused. Despite my own academic reasons for objecting to the way in which most pediatricians manage kids with OM, I'm quite sure they are not the cause of the prevalence of OM in children.
I hope you were being facetious. That's quite a bold conclusion there.
On the subjet of contamination, however, I wonder how many of these so-called contaminated instruments are contaminated by the decontamination process, by staff, or by physicians themselves. Furthermore, I wonder what percentage of them have the living organism on them rather than the antigens that may remain after sterilization.
For some reason, I have a feeling that no instrument can be completely decontaminated.