TY - CHAP M1 - Book, Section TI - Puncture Wounds and Bites A1 - Fitch, Michael T. A2 - Cydulka, Rita K. A2 - Fitch, Michael T. A2 - Joing, Scott A. A2 - Wang, Vincent J. A2 - Cline, David M. A2 - Ma, O. John PY - 2017 T2 - Tintinalli's Emergency Medicine Manual, 8e AB - Puncture wounds can be challenging to manage due to difficulty visualizing and cleaning the full depth of an injury. These injuries commonly occur to the extremities, such as on the plantar surface of the foot. Puncture wounds also include injuries caused by high-pressure injection equipment, health care associated needle-stick injuries, and some bite wounds from animals. Infections are reported in 6% to 11% of puncture wounds, with Staphylococcus aureus predominating (including methicillin-resistant S. aureus—MRSA). Pseudomonas aeruginosa is the most common pathogen in post-puncture wound osteomyelitis, particularly when penetration occurs through the sole of an athletic shoe. Post-puncture wound infections despite treatment with antibiotics suggest the possibility of a retained foreign body. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1143139824 ER -