Journal of the American Academy of Dermatology
Volume 61, Issue 6 , Pages 986-992 , December 2009

Preoperative skin and nail preparation of the foot: Comparison of the efficacy of 4 different methods in reducing bacterial load

  • Ricardo Becerro de Bengoa Vallejo, DPM, PhD

      Affiliations

    • Escuela Universitaria de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
    • Corresponding Author InformationReprint requests: Ricardo Becerro de Bengoa Vallejo, DPM, PhD, Escuela Universitaria de Enfermería, Fisioterapia y Podología, Facultad de Medicina, Universidad Complutense de Madrid, 28040 Madrid, Spain.
    • ,
  • Marta Elena Losa Iglesias, PhD

      Affiliations

    • Facultad Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain
    • ,
  • Luis Alou Cervera, BSc, PhD

      Affiliations

    • Departamento de Microbiología, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
    • ,
  • David Sevillano Fernández, BPharm

      Affiliations

    • Departamento de Microbiología, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
    • ,
  • José Prieto Prieto, MD, PhD

      Affiliations

    • Departamento de Microbiología, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain

,Accepted 22 April 2009.

References 

  1. Miller WA. Postoperative wound infection in foot and ankle surgery. Foot Ankle Int. 1983;4:102–104
  2. Mak KH, Chan KM, Leung PC. Ankle fracture treated with the AO principle: an experience with 116 cases. Injury. 1985;16:265–272
  3. Helm R. The results of ankle arthrodesis. J Bone Joint Surg Br. 1990;72:141–143
  4. Taylor GJ, Bannister GC, Calder S. Perioperative wound infection in elective orthopedic surgery. [erratum in J Hosp Infect 1991;17:155] J Hosp Infect. 1990;16:241–247
  5. Kitaoka HB, Patzer GL. Clinical results of the Mayo total ankle arthroplasty. J Bone Joint Surg Am. 1996;78:1658–1664
  6. Rowan R, Davey KJ. Ankle arthrodesis using an anterior AO T plate. J Bone Joint Surg Br. 1999;81:113–116
  7. Wolf EW, Hodge W, Spielfogel WD. Periungual bacterial flora in the human foot. J Foot Surg. 1991;30:253–263
  8. Zacharias J, Largen PS, Crosby LA. Results of preprocedure and postprocedure toe cultures in orthopedic surgery. Foot Ankle Int. 1998;19:166–168
  9. Brooks RA, Hollinghurst D, Ribbans WJ, Severn M. Bacterial recolonization during foot surgery: a prospective randomized study of toe preparation techniques. Foot Ankle Int. 2001;22:347–350
  10. Ostrander RV, Brage ME, Botte MJ. Bacterial skin contamination after surgical preparation in foot and ankle surgery. Clin Orthop. 2003;406:246–252
  11. Ostrander RV, Botte MJ, Brage ME. Efficacy of surgical preparation solutions in foot and ankle surgery. J Bone Joint Surg Am. 2005;87:980–985
  12. Keblish DJ, Zurakowski D, Wilson MG, Chiodo CP. Preoperative skin preparation of the foot and ankle: bristles and alcohol are better. J Bone Joint Surg Am. 2005;87:986–992
  13. Bibbo C, Patel DV, Gehrmann RM, Lin SS. Chlorhexidine provides superior skin decontamination in foot and ankle surgery: a prospective randomized study. Clin Orthop Relat Res. 2005;438:204–208
  14. Tytiun Y, Iordache S, Grintal A, Velkes S, Salai M. Bacterial skin contamination and bacterial recolonization, after surgical preparation, in foot operations and prevalence of postoperative early wound infection: a prospective study. Foot. 2005;15:74–76
  15. Riegel P, Ruimy R, Christen R, Monteil H. Species identities and antimicrobial susceptibilities of corynebacteria isolated from various clinical sources. Eur J Clin Microbiol Infect Dis. 1996;15:657–662
  16. Watkins DA, Chahine A, Creger RJ, Jacobs MR, Lazarus HM. Corynebacterium striatum: a diphtheroid with pathogenic potential. Clin Infect Dis. 1993;17:21–25
  17. Seal LA, Paul-Cheadle D. A systems approach to preoperative surgical patient skin preparation. Am J Infect Control. 2004;32:57–62
  18. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. the Hospital Infection Control Practices Advisory Committee. Guideline for the prevention of surgical site infection, 1999. Infect Control Hosp Epidemiol. 1999;20:247–280

 Funding sources: None.

 Conflicts of interest: None declared.

PII: S0190-9622(09)00545-3

doi: 10.1016/j.jaad.2009.04.045

Journal of the American Academy of Dermatology
Volume 61, Issue 6 , Pages 986-992 , December 2009

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