Open wounds or puncture wounds to the anus require immediate medical care.

Initial care includes:

• Control bleeding with direct pressure.
• Use a gauze or clean cloth directly on the wound.
• Maintain the pressure for at least 10 minutes.
• Do not keep looking at the wound.
• Clean the wound with mild soap and water.
• Running water can help remove dirt.
• You may gently dab the wound with hydrogen peroxide to remove clotted blood or debris.
• Do not scrub or re-injure the wound.
• Apply an antibiotic ointment and a dry dressing.
• Cover the wound with gauze or elastic bandage.
• Keep the wound clean and dry.

Ongoing care for minor wounds includes:

• Abrasions may be cleaned 2-3 times a day with a mild soap such as dilute baby shampoo.
• Dry the wound gently, and completely, with a clean towel or gauze.
• Apply an antibiotic and a dressing as needed.

Tetanus Considerations
Tetanus shots (boosters) can be given up to three days after an injury, as long as you have had all your tetanus shots in the past. A tetanus booster seldom needs to be given right at the time of the wound. This is not an emergency and can be done in the doctor's office or clinic.

A tetanus shot is necessary right away if you have not had three tetanus shots at any time in your life.

You need a tetanus shot within three days for:

• A dirty wound and you have not had a tetanus shot in the last five years
• A clean, minor wound and you have not had a tetanus shot in the last ten years