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Richard D. Pearson, MD; William M. Valenti, MD; Roy T. Steigbigel, MD

JAMA. 1980;244(10):1128-1130.

Abstract
Clostridium perfringens wound infections were associated with the use of nonsterile elastic outer bandages in diabetic patients who had undergone lower extremity amputation for vascular insufficiency. In each case a second surgical procedure was required. Elastic bandages similar to those used in these procedures were found to contain C perfringens and other clostridial species. This report illustrates the need for maintenance of a sterile, nonpermeable inner barrier to prevent transudation of bacteria into the wound and the potential benefit of using sterile elastic outer bandages after amputation for vascular insufficiency.

(JAMA 244:1128-1130, 1980)

Author Affiliations
From the Infectious Disease Unit, Department of Medicine, University of Rochester School of Medicine, Rochester, NY.

Footnotes
Reprint requests to University of Rochester Medical Center, Box MED, 601 Elmwood Ave, Rochester, NY 14642 (Dr Steigbigel).

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