A 25-year-old female presents with a puncture wound on her foot after stepping on a rusty nail. The wound is approximately 1 cm in depth. What are the potential complications and the next steps in management?
Puncture wounds, particularly those caused by rusty nails, carry a risk of tetanus and bacterial infection, including Staphylococcus and Pseudomonas species. The wound should be irrigated and cleaned. The patient's tetanus vaccination status should be checked, and a booster given if it's been more than 5 years since her last vaccination. If the wound is deep, broad-spectrum antibiotic coverage may be indicated, especially to cover Pseudomonas, given that she stepped on the nail with her foot.