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Microbiologic flora of human fingernails
Authors:G M Rayan  D J Flournoy
Affiliation:1. Department of Entomology, Cornell University, New York State Agricultural Experiment Station, Geneva, NY 14456, USA;2. Department of Entomology, Nanjing Agricultural University, Nanjing, Jiangsu 210095, PR China;3. Molecular, Cellular and Developmental Biology, University of Michigan, Ann Arbor, MI 48109, USA;4. USDA-ARS, Yakima Agricultural Research Laboratory, Wapato, WA 98951, USA
Abstract:The incidence of and nature of fingernail flora was studied in 20 patients. These patients underwent routine preoperative hand scrubbing in a clinical setting, without nail trimming or cleaning. Nineteen (95%) of 20 had a moderate to heavy growth of Staphylococcus epidermidis. These isolates were very susceptible to antibiotics. Thirteen (65%) of 20 patients had fungi (molds and yeast). In spite of adequate preoperative hand scrubbing, the fingernails were heavily contaminated. Such organisms may become pathogens and should not always be considered contaminants. This study also confirmed the importance of preoperative fingernail trimming and cleaning.
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