{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T10:17:02Z","timestamp":1779272222935,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T00:00:00Z","timestamp":1572912000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the frequency of detection of high\u2010risk human papillomavirus (hrHPV)  on transvaginal ultrasound (TVS) probes and keyboards and evaluate operator compliance with national recommendations for prevention of cross\u2010infection during TVS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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\u00ae 4800 System.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We did not detect hrHPV DNA in samples collected from uncovered or covered probes (0%; 95%\u2009CI, 0.00\u20130.55%). Keyboard samples were positive for hrHPV in two cases (0.3%; 95%\u2009CI, 0.04\u20131.07%). 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No evidence of hrHPV DNA was found on TVS probes and probe covers following low\u2010level 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 \u00a9 2019 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.20268","type":"journal-article","created":{"date-parts":[[2019,3,25]],"date-time":"2019-03-25T17:19:05Z","timestamp":1553534345000},"page":"688-695","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Transvaginal ultrasound probes are human papillomavirus\u2010free following low\u2010level disinfection: cross\u2010sectional multicenter survey"],"prefix":"10.1002","volume":"54","author":[{"given":"J.\u2010C.","family":"Lucet","sequence":"first","affiliation":[{"name":"AP\u2010HP, Bichat\u2010Claude Bernard Hospital Infection Control Unit  Paris France"},{"name":"INSERM, IAME, UMR 1137 Universit\u00e9 Paris Diderot, Sorbonne Paris Cit\u00e9  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Heard","sequence":"additional","affiliation":[{"name":"National HPV Reference Laboratory Institut Pasteur  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Roueli","sequence":"additional","affiliation":[{"name":"AP\u2010HP, H\u00f4pital Piti\u00e9\u2010Salp\u00eatri\u00e8re Service de Gyn\u00e9cologie Obst\u00e9trique  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Lafourcade","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, AP\u2010HP, H\u00f4pital Piti\u00e9\u2010Salp\u00eatri\u00e8re, D\u00e9partement Biostatistique Sant\u00e9 Publique et Information M\u00e9dicale, Unit\u00e9 de Recherche Clinique PSL\u2010CFX Centre de Pharmaco\u00e9pid\u00e9miologie (Cephepi), INSERM, UMR 1123 ECEVE  CIC\u20101421 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Mandelbrot","sequence":"additional","affiliation":[{"name":"INSERM, IAME, UMR 1137 Universit\u00e9 Paris Diderot, Sorbonne Paris Cit\u00e9  Paris France"},{"name":"AP\u2010HP, H\u00f4pital Louis Mourier Service de Gyn\u00e9cologie Obstetrique  Colombes France"},{"name":"Coll\u00e8ge National des Gyn\u00e9cologues Obst\u00e9triciens Fran\u00e7ais  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Estellat","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, AP\u2010HP, H\u00f4pital Piti\u00e9\u2010Salp\u00eatri\u00e8re, D\u00e9partement Biostatistique Sant\u00e9 Publique et Information M\u00e9dicale, Unit\u00e9 de Recherche Clinique PSL\u2010CFX Centre de Pharmaco\u00e9pid\u00e9miologie (Cephepi), INSERM, UMR 1123 ECEVE  CIC\u20101421 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9800-4525","authenticated-orcid":false,"given":"M.","family":"Dommergues","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, AP\u2010HP, H\u00f4pital Piti\u00e9\u2010Salp\u00eatri\u00e8re Service de Gyn\u00e9cologie Obstetrique  Paris France"},{"name":"Coll\u00e8ge Fran\u00e7ais d'Echographie F\u0153tale  Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the PREEV Study Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0048137"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2012-201407"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0093368"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dku006"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2012.02.015"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-016-0528-z"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.05552-11"},{"key":"e_1_2_8_9_1","unstructured":"[Haut Conseil de la Sant\u00e9 Publique. 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