Through the rubber sole of a shoe – Cover Pseudomonas
Most puncture wound infections are caused by gram-positive organisms like Staphylococcus aureus (the most common) and other staphylococcal and streptococcal species.
However, when the puncture wound is through the rubber sole of an athletic shoe, Pseudomonas becomes the most frequent organism.
Treatment: Ciprofloxacin 750 mg twice daily OR Levofloxacin 750 mg once daily.
*Fluoroquinolones are the oral drug of choice because they are the only class of antibiotics with oral dosing that is reliably active against P. aeruginosa.