Necrotising fasciitis: a narrative review of the literature
| Autor: | Josiah Damisa, Sanjay Harrison, Sohail Ahmed |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Debridement business.industry medicine.medical_treatment Incidence (epidemiology) Soft Tissue Infections Necrotising fasciitis General Medicine 030230 surgery medicine.disease Dermatology Anti-Bacterial Agents 03 medical and health sciences Broad spectrum 0302 clinical medicine Early Diagnosis Risk Factors 030220 oncology & carcinogenesis medicine Humans Soft tissue infection Narrative review Fasciitis Necrotizing business |
| Zdroj: | British journal of hospital medicine (London, England : 2005). 82(4) |
| ISSN: | 1750-8460 |
| Popis: | Necrotising fasciitis is a severe, life-threatening and rapidly progressive soft tissue infection that often requires aggressive surgical management, with an estimated incidence of about 0.24–0.40 per 100 000 in the UK. Necrotising fasciitis can be classified based on its microbiology or the anatomy or body region affected. Initial signs of necrotising fasciitis can be minimal and non-specific but a patient often presents with pain out of proportion to clinical signs on examination, as well as erythema and oedema, in addition to systemic symptoms associated with sepsis. Diagnosis is often based on high clinical suspicion with biochemical and clinical imaging used as adjuncts. To aid with early diagnosis of necrotising fasciitis, a scoring system known as the Laboratory Risk Indicator for necrotising fasciitis was developed which has a positive predictive value of 92%. Once diagnosed, appropriate resuscitation and antibiotics, along with prompt and aggressive surgical debridement, is the mainstay of treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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