Concerns About Minor Finger Wounds and Infection Risks - Internal Medicine

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Small cuts on the fingers?


Hello Doctor, I had a small cut on my finger this morning while using my nails.
Later in the evening, while peeling shrimp, I felt some pain and I'm not sure if it was due to the moisture from the boiled shrimp.
I just looked online and I'm worried about the possibility of getting an infection or something serious.
I quickly washed my finger and applied iodine and a bit of antibiotic ointment.
My mom said that it hurts when it comes into contact with regular water, but I shouldn't worry about the cooked shrimp.
What do you think, am I overreacting? Thank you.

Bai Bai, 20~29 year old female. Ask Date: 2020/09/30

Dr. Hong Yuanbin reply Internal Medicine


Hello, properly cooked seafood has a significantly lower risk of infection.
It is advisable to monitor for any subsequent signs of infection, such as fever or redness, swelling, heat, and pain at the wound site.
If none of these symptoms are present, there should be no need for concern.
Thank you for your question.

Reply Date: 2020/09/30

More Info


When it comes to minor wounds, particularly those on the fingers, it is natural to have concerns about infection risks. Your situation, involving a small cut from handling shrimp, raises valid questions about potential infections and the necessary precautions to take.

Firstly, it is important to understand that any break in the skin, no matter how minor, can potentially allow bacteria to enter the body. The risk of infection depends on several factors, including the depth of the wound, the cleanliness of the environment, and how well the wound is cared for afterward. In your case, since you mentioned that the cut was small and you promptly cleaned it with soap and water, followed by applying iodine and antibiotic ointment, you have taken appropriate initial steps to minimize the risk of infection.

Handling cooked shrimp generally poses a low risk for infections, especially if the shrimp were properly cooked and handled. Cooking shrimp at high temperatures kills most pathogens that could cause illness. However, if the shrimp were contaminated before cooking, there is a slight chance of bacteria being present. That said, the primary concern would be if the wound was exposed to raw shrimp or contaminated surfaces, which could introduce bacteria such as Vibrio species, commonly associated with seafood.

The pain you are experiencing when the wound comes into contact with water could be due to several reasons. Minor wounds can be sensitive, especially if they are healing. If the pain persists or worsens, or if you notice increased redness, swelling, or discharge from the wound, these could be signs of infection. Typical symptoms of an infected wound include:
1. Increased redness and swelling around the wound.

2. Warmth at the site of the injury.

3. Pus or other drainage from the wound.

4. Increased pain or tenderness.

If you observe any of these symptoms, it is advisable to seek medical attention. A healthcare professional can assess the wound and determine if further treatment, such as a prescription for antibiotics, is necessary.

Regarding your concern about diseases, while the risk of contracting a serious infection from a minor cut is generally low, it is always wise to be cautious. If you have any underlying health conditions that could compromise your immune system, such as diabetes or other chronic illnesses, you should be particularly vigilant about monitoring the wound.

In terms of general wound care, here are some recommendations:
1. Keep the wound clean and dry: Continue to wash the area gently with soap and water, and avoid exposing it to potentially contaminated environments.

2. Cover the wound: Use a sterile bandage to protect the wound from dirt and bacteria, especially if you are engaging in activities that could expose it to contaminants.

3. Change dressings regularly: If you are using a bandage, change it daily or whenever it becomes wet or dirty.

4. Watch for signs of infection: As mentioned earlier, be alert for any changes in the wound's appearance or sensation.

In conclusion, while your initial care seems adequate and the risk of serious infection from a minor wound is low, it is essential to monitor the wound for any signs of infection. If you have any doubts or if symptoms develop, do not hesitate to consult a healthcare provider for further evaluation and peace of mind. Remember, it is always better to err on the side of caution when it comes to your health.

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