Should Your Child See a Doctor?
Is this your child's symptom?
- The skin is punctured by a pointed narrow object
Causes of Puncture Wounds
- Metal: Nail, sewing needle, pin, tack
- Pencil: Pencil lead is actually graphite harmless. It is not poisonous lead. Even colored leads are not toxic.
- Wood: Toothpick
Complications of Puncture Wounds
- Retained Foreign Body Object. This happens if part of the sharp object breaks off in the skin. The pain will not go away until it is removed.
- Wound Infection. This happens in 4% of foot punctures. The main symptom is spreading redness 2 or 3 days after the injury.
- Bone Infection. If the sharp object also hits a bone, the bone can become infected. Punctures of the ball of the foot are at greatest risk. The main symptoms are increased swelling and pain 2 weeks after the injury.
When to Call for Puncture Wound
Call 911 Now
- Deep puncture on the head, neck, chest or stomach
- You think your child has a life-threatening emergency
Call Doctor Now or Go to ER
- Puncture into a joint
- Feels like something is still in the wound
- Won't stand bear weight or walk on punctured foot
- Needle stick from used shot needle
- Sharp object or setting was very dirty such as a playground
- No past tetanus shots
- Dirt in the wound is not gone after 15 minutes of scrubbing
- Severe pain and not improved 2 hours after taking pain medicine
- Wound looks infected spreading redness, red streaks
- Fever occurs
- You think your child has a serious injury
- You think your child needs to be seen, and the problem is urgent
Call Doctor Within 24 Hours
- Last tetanus shot was over 5 years ago
- You think your child needs to be seen, but the problem is not urgent
Call Doctor During Office Hours
- You have other questions or concerns
Self Care at Home
Seattle Children’s Urgent Care Locations
If your child’s illness or injury is life-threating, call 911.
Care Advice for Puncture Wound
- What You Should Know About Puncture Wounds:
- Most puncture wounds do not need to be seen.
- Here is some care advice that should help.
- Cleaning the Wound:
- Wash the wound with soap and warm water for 15 minutes.
- For any dirt or debris, scrub the wound surface back and forth. Use a wash cloth to remove any dirt.
- If the wound re-bleeds a little, that may help remove germs.
- Trim Loose Skin:
- Cut off any flaps of loose skin that seal the wound. These can interfere with drainage or removing debris.
- Use a fine scissors. Clean them with rubbing alcohol first.
- Antibiotic Ointment:
- Use an antibiotic ointment such as Polysporin. No prescription is needed.
- Then, cover with a bandage such as Band-Aid. This helps to reduce the risk of infection.
- Re-wash the wound and put on antibiotic ointment every 12 hours.
- Do this for 2 days.
- Pain Medicine:
- To help with the pain, give an acetaminophen product such as Tylenol.
- Another choice is an ibuprofen product such as Advil.
- Use as needed.
- What to Expect:
- Puncture wounds seal over in 1 to 2 hours.
- Pain should go away within 2 days.
- Call Your Doctor If:
- Dirt in the wound still there after 15 minutes of scrubbing
- Pain becomes severe
- Looks infected redness, red streaks, pus, fever
- You think your child needs to be seen
- Your child becomes worse
And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.
Disclaimer: This information is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.
Last Reviewed: 09/01/2012
Last Revised: 09/01/2012
Copyright 1994-2015 Barton D. Schmitt, MD. All rights reserved.