Post-nail puncture of foot

- All require surgical debridement for therapy and C&S.

- Tetanus prophylaxis recommended.

 
Usual Pathogens

Pseudomonas aeruginosa
S. aureus

Mild-moderate

Empiric Therapy Dose Duration

Ciprofloxacin

20-30mg/kg/d PO div bid 7-14 days

Severe/systemic symptoms

Empiric Therapy Dose Duration
Piperacillin-tazobactam 240-300mg piperacillin/kg/d IV div q6-8h 7-14 days