Infection in minor gunshot wounds.

Of the 3684 patients enrolled in our study, 3390 were available for follow-up, of which 62 patients developed wound infections related to minor gunshot wounds (1.8%). Of these patients, all sustained entry/exit-type wounds while 60% of these patients sustained more than one injury. Complications were more likely to occur when a prolonged period occurred between the time of injury and the initial treatment. The development of infection in minor gunshot wound injuries is an unusual occurrence when these injuries are limited to the soft tissue structures. Additionally, wound debridement and antibiotics are often unnecessary in minor uncomplicated gunshot wounds, but may be beneficial in patients who have sustained multiple injuries, gross wound contamination, significant tissue devitalization, large wounds, or delay in treatment.