Monday, October 19, 2020

Puncture Wounds

emDocs - October 19, 2020 - By Kaur G, Katirji L 
Reviewed by: Sheng A; Koyfman A; Long B
  1. Despite their benign initial appearance, puncture wounds should be taken seriously due to risk of infection and potential sequela such as osteomyelitis and deep soft tissue infections.
  2. Consideration of retained foreign bodies and thorough examination and imaging (ultrasound and/or plain films) are the keys to decreasing complications.
  3. Staphylococcus and Streptococcal species are the most common causes of infection. Pseudomonas is an important consideration in plantar puncture wounds and the most common cause of osteomyelitis.
  4. The majority of puncture wounds without retained foreign bodies will have a benign course. Prophylactic antibiotics, high-pressure irrigation, and debridement are unnecessary in most cases. Educate patients re: signs and symptoms to return for."