Title: Clinico-Microbiological Study of Necrotizing Fasciitis
Authors: Dr Vishnu Sankar K V, Dr I J Jinu
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.192
Abstract
Introduction: Necrotizing fasciitis (NF) is a rapidly progressive inflammatory infection of the fascia and necrosis of subcutaneous tissues. It is a surgical emergency which requires high degree of suspicion for early diagnosis, and treatment in order to reduce morbidity and mortality.
Aim: This study is done to analyse NF- its clinical presentation, and microbiological characteristics. Study also emphasizes on surgical management and prognosis of this condition.
Methodology: This is a prospective study which included all the 40 patients admitted and treated for NF in Govt. T D Medical College, vandanam between January 2016 and January 2017.
Results: There were 40 patients admitted and treated with NF during the study period. The mean age of occurrence was 55.9 years and who were predominantly male. Most common site affected was lower limb.
The patients presented with necrotic patch, blebs, ulcer, cellulitis, skin erythema, Ulcer with cellulitis, Microbiologically most of the culture yielded growth, with polymicrobial being the most common type isolating Pseudomonas, Staphylococcus, Klebsiella and . Escherichia coli are the organisms causing it.
The majority of them responded well to antibiotics and surgical debridement with few patients needing amputation.
The mortality rate in our study was 10%.
Keywords: Culture, Diabetes mellitus, Necrotizing fasciitis, surgical debridement.
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