Ordog et al identified risk factors for a gunshot wound becoming infected. These can help identify a patient who may benefit from more aggressive management. The authors are from King/Drew UCLA Medical Center.
Risk factors associated with a high risk for infection of the gunshot wound (infection rate 80%)
(1) at least one perforating wound (both entrance and exit wounds) from a low velocity handgun
(2) > 24 hours between the gunshot and presenting for therapy
(3) no medical care (wound cleansing, wound irrigation) prior to presentation
Risk factors associated with a low-to-moderate risk for infection of the gunshot wound (infection rate 20%):
(4) wound size from 1-2 cm
(5) failure to comply with wound care instructions
(6) failure to return for followup evaluation
where:
• Shotgun and high-velocity rifle wounds did not tend to become infected.
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