Pseudomonas Infections of the Foot After Puncture Wounds

Ne, Green; Bruno, Juan

doi:10.1097/00007611-198002000-00008

Cited by 29 publications

(3 citation statements)

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“…The association between puncture wounds, tennis shoes, and osteomyelitis due to Pseudomonas was supported by Patzakis et al (10) in a study of 72 children with puncture wounds, and the association between Pseudomonas and puncture wounds has been demonstrated in several case series (11)(12)(13)(14).…”

Section: Conclusion-mentioning

confidence: 73%

Infected Puncture Wounds in Diabetic and Nondiabetic Adults

et al. 1995

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Section: Conclusion-mentioning

confidence: 73%

Infected Puncture Wounds in Diabetic and Nondiabetic Adults

et al. 1995

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“…The reports in the literature on these wounds generally describe healthy patient populations.' , 5,9,13,14 The incidence of puncture wounds that progress to osteomyelitis has been reported by Fitzgerald and Cowan? to be 1.8% in a pediatric population.…”

Section: Introductionmentioning

confidence: 92%

Calcaneal Osteomyelitis Caused by Nail Puncture Wounds

et al. 1997

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Plantar puncture wounds to the foot are a common injury. A small number (1.8%) of these puncture wounds become infected and progress to osteomyelitis. The purpose of this article is to report the cases of six patients who developed osteomyelitis of the calcaneus after a puncture wound to the heel caused by a nail. The characteristics of the patients, the pathogenic organism, and the outcome were studied. Patients who were healthy and had no systemic illness (N = 4) had only one pathogenic organism cultured, whereas patients who had systemic illness (diabetes mellitus, N = 2) had more than one pathogenic organism cultured. The only amputation in this group occurred in a patient with diabetes mellitus. It was concluded that diabetic patients who develop calcaneal osteomyelitis from a nail puncture wound are more likely to have multiple pathogens cultured. Furthermore, if a diabetic neuropathy is also present, the nail puncture wound may be the initial injury leading to a chronic ulceration, increasing the risk of amputation.

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“…It has been associated with deep infections with complicated courses of treatment. [2][3][4][5][6][7] Most of the published work regarding infected puncture wounds involves pediatric osteomyelitis [8][9][10][11][12][13][14][15][16][17][18][19] , which demonstrates a very high rate of osteomyelitis caused by Pseudomonas species. There are only a few studies that have evaluated and compared the pathogens of infection in puncture wounds in patients with and without out diabetes.…”

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confidence: 99%

A Comparison of Pathogens in Skin and Soft-Tissue Infections and Pedal Osteomyelitis in Puncture Wound Injuries Affecting the Foot

Truong

Fontaine

Malone

et al. 2022

Journal of the American Podiatric Medical Association

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ObjectiveTo compare pathogens involved in skin and soft tissue infection (SSTI) and pedal osteomyelitis (OM) in patients with and without diabetes with puncture wounds to the foot. MethodsWe evaluated 113 consecutive patients between June 2011 and March 2019 with foot infection (SSTI and OM) from a puncture injury sustained to the foot. Eighty-three patients had diabetes (DM) and 30 did not (NDM). We evaluated the bacterial pathogens in patients with skin and soft tissue infections (SSTI) and pedal osteomyelitis (OM). ResultsPolymicrobial infection were more common in patients with diabetes mellitus (83.1% vs 53.3%, p=.001). The most common pathogen for SSTI and OM in DM was s. aureus (SSTI 50.7%, OM 32.3%), whereas in NDM patients it was Pseudomonas (25%) for SSTI. Anaerobes (9.4%) and fungal (3.1%) infection were uncommon. Pseudomonas aeruginosa was only identified in 5.8% of people with diabetes. ConclusionsThe most common bacterial pathogen in both SSTIs and pedal OM was staphylococcus aureus in patients with DM. Pseudomonas spp., was the most common pathogen in people without diabetes with SSTIs.

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Pseudomonas Infections of the Foot After Puncture Wounds

Cited by 29 publications

References 0 publications

Infected Puncture Wounds in Diabetic and Nondiabetic Adults

Infected Puncture Wounds in Diabetic and Nondiabetic Adults

Calcaneal Osteomyelitis Caused by Nail Puncture Wounds

A Comparison of Pathogens in Skin and Soft-Tissue Infections and Pedal Osteomyelitis in Puncture Wound Injuries Affecting the Foot

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