{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T06:43:01Z","timestamp":1775889781925,"version":"3.50.1"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>The purpose of this study was to describe our experience in treatment of pediatric patient presenting with pedal puncture wound to our level I trauma center and describe our results for the need for hospitalization and\/or surgery for these patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Children and adolescents 18 years and younger presenting with pedal puncture wounds from September 2009 to December of 2013 were retrospectively studied. Exclusion criteria included adult patients, wounds related to animal bites, lacerations associated with a motor vehicle collision or all-terrain vehicle accidents, gunshot wounds, degloving injuries, or injuries resulting in complex lacerations to the foot.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 147 children presented to emergency department (ED) with a pedal puncture wound. Average age was 9.8 years. Prophylactic antibiotic therapy was administered in 107 cases (72.8%). Fifteen patients (10%) were treated with intravenous or intramuscular antibiotics in the ED or after hospital admission, 81 patients (55%) were treated with oral medications (prescribed for them to be taken after discharge), and 35 patients (24%) received topical antibiotic treatment. Of the 147 patients included in the study, 9 patients (6%) required the need for hospitalization. Two patients were admitted for parenteral antibiotic treatment only, and 7 patients required formal surgical debridement in the operating room in addition to parenteral antibiotic therapy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The majority of pediatric patients with pedal puncture wounds were treated in the ED with only a small percentage of patients requiring admission for either parenteral antibiotic treatment or formal surgical debridement.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000000615","type":"journal-article","created":{"date-parts":[[2016,1,19]],"date-time":"2016-01-19T19:41:56Z","timestamp":1453232516000},"page":"724-729","source":"Crossref","is-referenced-by-count":8,"title":["Plantar and Pedal Puncture Wounds in Children"],"prefix":"10.1097","volume":"33","author":[{"given":"Angela","family":"Volk","sequence":"first","affiliation":[{"name":"From the *Paul L. Foster School of Medicine, and Departments of \u2020Pediatrics and \u2021Orthopedic Surgery, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Zebda","sequence":"additional","affiliation":[{"name":"From the *Paul L. Foster School of Medicine, and Departments of \u2020Pediatrics and \u2021Orthopedic Surgery, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr A.","family":"Abdelgawad","sequence":"additional","affiliation":[{"name":"From the *Paul L. Foster School of Medicine, and Departments of \u2020Pediatrics and \u2021Orthopedic Surgery, Paul L. Foster School of Medicine, Texas Tech University Health Science Center, El Paso, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/S0030-5898(20)30958-5","article-title":"Puncture wounds of the foot","volume":"6","year":"1975","journal-title":"Orthop Clin North Am"},{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/j.cpm.2010.06.008","article-title":"Puncture wounds of the foot","volume":"27","year":"2010","journal-title":"Clin Podiatr Med Surg"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1542\/pir.20.1.21","article-title":"Puncture wounds","volume":"20","year":"1999","journal-title":"Pediatr Rev"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1177\/000992280404300301","article-title":"Management of plantar puncture wounds in children","volume":"43","year":"2004","journal-title":"Clin Pediatr (Phila)"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1097\/00005373-196209000-00002","article-title":"Tetanus prophylaxis in the treatment of puncture wounds of patients in the deep South","volume":"2","year":"1962","journal-title":"J Trauma"},{"key":"bib6-20230930","first-page":"268","article-title":"Plantar puncture wounds in children: analysis of 80 hospitalized patients and late sequelae","volume":"5","year":"2003","journal-title":"Isr Med Assoc J"},{"key":"bib8-20230930","first-page":"801","article-title":"Special wounds. 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