Hoesl, V. M. and Kehrer, A. and Prantl, L. (2020) Necrotizing fasciitis-a surgical emergency. CHIRURG, 91 (5). pp. 437-443. ISSN 0009-4722, 1433-0385
Full text not available from this repository. (Request a copy)Abstract
Necrotizing fasciitis is a fulminant and potentially life-threatening infection of the skin and soft tissue. It is usually caused by a combination of different bacteria and is often due to assumed minor trauma. Clinically, only relatively insignificant skin changes are initially present, such as blistering or erythema. They are often accompanied by excessive pain. In the further course, the massive systemic reaction becomes predominant. The diagnosis of necrotizing fasciitis is primarily clinical, which can be supported by laboratory parameters (LRINEC score) and computed tomography imaging. Decisive for the prognosis is the immediate initiation of surgical treatment by radical debridement. Additionally, the calculated administration of a combination of different antibiotics should be initiated. As part of the further complex intensive care treatment, a regular reevaluation of the wounds is carried out. Multiple debridements are always necessary until plastic surgery for defect coverage can be carried out.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SOFT-TISSUE INFECTIONS; MORTALITY; DIAGNOSIS; TRENDS; Skin lesion; Necrotizing soft tissue infection; LRINEC score; Debridement; Plastic surgical reconstruction |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 26 Mar 2021 11:13 |
| Last Modified: | 26 Mar 2021 11:13 |
| URI: | https://pred.uni-regensburg.de/id/eprint/44740 |
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