Necrotizing fasciitis: microbiological characteristics and predictors of postoperative outcome View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-01-28

AUTHORS

A Krieg, A Röhrborn, J Schulte am Esch, D Schubert, LW Poll, C Ohmann, S Braunstein, WT Knoefel

ABSTRACT

OBJECTIVE: Necrotizing fasciitis is a life threatening soft-tissue infection with a high morbidity and mortality. Prompt treatment based on extensive surgical debridement and antibiotic therapies are the therapeutic principles. METHODS: The medical records of patients with necrotizing fasciitis (n = 26) from 1996 to 2005 were retrospectively analyzed. RESULTS: The localization of necrotizing fasciitis was most commonly the trunk (42.3 %). Type I polymicrobial infection was the dominating infection. The involvement of anaerobic bacteria was associated with an increase in the number of surgical revisions (p = 0.005). Length of postoperative intensive care unit stay, duration of postoperative ventilation and mortality were significantly increased in the ASA IV-V group. Computed tomography displayed only a limited significance as diagnostic tool for initial diagnosis. CONCLUSIONS: In severe cases the combination of necrotic skin and soft tissue gas facilitates the correct diagnosis, which should than be followed by immediate - and most often - repeated debridement. If anaerobes are isolated an early and aggressive second look is necessary. More... »

PAGES

30-36

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/2047-783x-14-1-30

DOI

http://dx.doi.org/10.1186/2047-783x-14-1-30

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1023792097

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19258208


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