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

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dc.contributor.authorBecerro De Bengoa Vallejo, Ricardo
dc.contributor.authorLosa Iglesias, Marta Elena
dc.contributor.authorAlou Cervera, Luis
dc.contributor.authorSevillano Fernández, David
dc.contributor.authorPrieto Prieto, José
dc.date.accessioned2024-07-18T11:50:55Z
dc.date.available2024-07-18T11:50:55Z
dc.date.issued2009-12
dc.description.abstractBackground: Orthopedic surgical procedures involving the foot and ankle are associated with high rates of infection. The optimal method of preparing the skin and nails for foot and ankle surgery remains unknown. Objective: This study was conducted to compare the efficacy of 4 different methods of skin and nail preparation of the foot using various antiseptic solutions. Methods: In this prospective, randomized study, 4 methods of skin and nail preparation were compared in terms of their efficacy in eliminating bacteria from the hallux nailfold and first web space of the normal foot in 28 healthy adult volunteers. Efficacy was determined by evaluating the difference in the total bacterial load before and after skin preparation. The foot-preparation solutions evaluated were 4% chlorhexidine gluconate, 70% isopropyl alcohol, and 7.5% to 10% povidone-iodine. Results: The addition of alcohol to povidone-iodine was found to increase the efficacy of the preparation method. The nailfold remained contaminated after any of the preoperative skin- and nail-preparation methods studied. Limitations: This study did not measure clinically relevant infections, and the results may not correlate with decreased rates of infection after surgery. Conclusion: Incorporation of alcohol and povidone-iodine into the preoperative skin- and nail-preparation process may help reduce the bacterial load. Every effort should be made to lower the risk of contamination from the nail.
dc.description.departmentDepto. de Enfermería
dc.description.departmentDepto. de Medicina
dc.description.facultyFac. de Enfermería, Fisioterapia y Podología
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationBecerro de Bengoa Vallejo R, Losa Iglesias ME, Alou Cervera L, Sevillano Fernández D, Prieto Prieto J. Preoperative skin and nail preparation of the foot: comparison of the efficacy of 4 different methods in reducing bacterial load. J Am Acad Dermatol. 2009 Dec;61(6):986-92.
dc.identifier.doi10.1016/j.jaad.2009.04.045
dc.identifier.issn0190-9622
dc.identifier.officialurlhttps://doi.org/10.1016/j.jaad.2009.04.045
dc.identifier.urihttps://hdl.handle.net/20.500.14352/106866
dc.issue.number6
dc.journal.titleJournal of the American Academy of Dermatology
dc.language.isoeng
dc.page.final992
dc.page.initial986
dc.publisherElsevier
dc.rights.accessRightsmetadata only access
dc.subject.cdu611.02
dc.subject.cdu616.718.7/.9
dc.subject.keywordantiseptic
dc.subject.keywordbacterial load
dc.subject.keywordfoot surgery
dc.subject.keywordinfection
dc.subject.keywordpreoperative skin preparation
dc.subject.ucmMicrobiología médica
dc.subject.ucmPodología
dc.subject.unesco2414 Microbiología
dc.titlePreoperative skin and nail preparation of the foot: Comparison of the efficacy of 4 different methods in reducing bacterial load
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number61
dspace.entity.typePublication
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