From: Robert A. Neinast Subject: A Study of Puncture Wounds Date: Sun, 13 Jul 2003 20:23:38 -0400 I recently happened upon a study of puncture wounds of the foot that I found rather interesting. The study looked at 44 children who were admitted into a San Antonio hospital with foot puncture wounds. Those admitted to hospitals are generally those who have gotten an infection. Some interesting observations: Of the 44 children, 27 of them were shod (only 17 were barefoot) when the injury happened. Most of the injured children stepped on nails (35 of the 44). Here's the even more interesting part: The infections were of 2 kinds, soft tissue infections and bone infections. *None* of the barefoot infections were bone infections. (I would guess that a reflex action prevented the nail from going as deeply in the barefooted child.) And, the main conclusion of the study is also quite interesting: The two major bacteria involved in the infections are staph and something called Pseudomonas aeruginosa. *None* of the barefoot children were infected by the P. aeruginosa. It was the researchers' conclusion that this bacterium was residing in the children's shoes, and was injected into the wound by the nail doing the puncturing. I've put a copy of the paper at . Bob -- " . . . and shun the Frumious Bandersnatch." Robert A. Neinast Pickerington, OH