Please forgive my use of anecdata, but I agree with your position. A few years ago I lost some skin on an elbow just by resting it (i.e., rubbing it repeatedly

Please forgive my use of anecdata, but I agree with your position. A few years ago I lost some skin on an elbow just by resting it (i.e., rubbing it repeatedly)on a table too much while I worked at my computer. My skin was dry and I wasn't wearing long sleeves, which probably exacerbated the problem. I don't think my dermis was ever punctured, but I lost a bit of epidermis. I ended up with an infection working its way up my arm, and it required level-two antibiotics to stop it. This all happened just with normal indoor living. It's not like I waded through untreated sewage. I'm a lot more careful now. 99% of the time applying a topical antibiotic and a bandaid is overkill. But the 1% make it a worthwhile policy.