Theatre shoes - a link in the common pathway of postoperative wound infection?

Annals of the Royal College of Surgeons of England
Rouin AmirfeyzAshley Blom

Abstract

Operating department staff are usually required to wear dedicated theatre shoes whilst in the theatre area but there is little evidence to support the beneficial use of theatre shoes. We performed a study to assess the level of bacterial contamination of theatre shoes at the beginning and end of a working day, and compared the results with outdoor footwear. We found the presence of pathogenic bacterial species responsible for postoperative wound infection on all shoe groups, with outdoor shoes being the most heavily contaminated. Samples taken from theatre shoes at the end of duty were less contaminated than those taken at the beginning of the day with the greatest reduction being in the number of coagulase-negative staphylococcal species grown. Studies have demonstrated that floor bacteria may contribute up to 15% of airborne bacterial colony forming units in operating rooms. The pathogenic bacteria we isolated have also been demonstrated as contaminants in water droplets spilt onto sterile gloves after surgical scrubbing. Theatre shoes and floors present a potential source for postoperative infection. A combination of dedicated theatre shoe use and a good floor washing protocol controls the level of shoe contamination by coag...Continue Reading

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Citations

Jul 19, 2013·Surgical Infections·J Wesley AlexanderMichael J Edwards
Sep 21, 2010·Journal of the American Academy of Dermatology·Daniel B Eisen
Apr 12, 2016·Frontiers in Surgery·Ross H FrancisAbraham Jacob
Sep 14, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Antonia F ChenJavad Parvizi
Oct 21, 2016·Journal of Applied Microbiology·T RashidK W Garey
Jan 18, 2020·Central European Journal of Public Health·Daniela Lo GiudiceSebastiano Calimeri
Apr 2, 2009·Annals of the Royal College of Surgeons of England·Vijaya M BudnarAshley W Blom
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Janelle YuDonald H Lalonde

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