title: Results of preprocedure and postprocedure toe cultures in orthopaedic surgery.
abstract: This study was to determine whether there is any benefit to wrapping the toes sterilely during orthopaedic procedures not involving the foot but performed on the lower extremity. The group studied consisted of 12 patients who had an orthopaedic procedure performed in which the foot and toes were included in the surgical prep, but not involved in the surgical procedure. Nine of the 12 patients (75%) had positive results from preprocedural aerobic cultures and two of the 12 (16.6%) had positive results from preprocedural fungal cultures. Recolonization of the bacteria between the toes was also demonstrated. Sterile draping of the toes would minimize the risk of infection and also protect against bacteria that recolonize during the procedure.
authors.affiliation: Creighton-Nebraska Health Foundation, Orthopaedic Surgery Residency Program, Omaha, USA.
authors.forename: J
authors.initials: J
authors.lastname: Zacharias
authors.forename: P S
authors.initials: PS
authors.lastname: Largen
authors.forename: L A
authors.initials: LA
authors.lastname: Crosby
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001230:Aspergillus / Q000302:isolation & purification; D001512:Bedding and Linens; D002648:Child; D005260:Female; D005528:Foot / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011300:Preoperative Care; D012867:Skin / Q000382:microbiology*; D013210:Staphylococcus / Q000302:isolation & purification; D014034:Toes / Q000382:microbiology*; D014249:Trichophyton / Q000302:isolation & purification