A Clinical and Microbiological Analysis of Necrotizing Fasciitis
Authors/Creators
- 1. Specialist Medical Officer (Surgery), Andhratharhi, Madhubani, Bihar
- 2. Associate Professor and Head of Department, Upgraded Department of Surgery, Darbhanga Medical College and Hospital, Laheriasarai, Bihar
Description
Background: Necrotizing fasciitis is a group of illnesses caused by an infectious bacterium that causes deeper soft tissue necrosis. It is an infectious condition that can be fatal, with a death rate that can range from 17% to 34%. Having a deeper understanding of pathophysiology is essential to giving superior medical or surgical care. The current investigation sought to quantify the incidence of necrotizing fasciitis and ascertain the most successful course of treatment for the condition. Methods: The study included all patients of necrotizing fasciitis admitted to DMCH between November 2009 and October 2011. A combination of clinical and gross anatomical observations, biochemical characterisation, and microbiological assessment were used to make the diagnosis. Results: Among the patients, a male predominance was seen. The majority of symptoms (95%) were reported as pain, with a mean duration of 10.08 days. The most prevalent etiological factor was trauma (30%), and the most common associated comorbid disease among patients was diabetes mellitus (38.3%), followed by hypertension (30%) in 18 cases. In 37 (61.7%) patients, the culture was monomicrobial; in 22 (36.7%) patients, it was polymicrobial; and in 1.7% of patients, it was sterile. Of the isolates, 86.7% were aerobic and 13.3% were anaerobic. The most prevalent bacterium among the patients was E. coli. Conclusion: In extreme situations, the presence of soft tissue gas and necrotic skin helps with the proper diagnosis. Debridement should then be performed right away and frequently. Since the anaerobes are isolated, a quick and thorough second inspection is required. Therapeutic planning might benefit greatly from the study’s findings.
Abstract (English)
Background: Necrotizing fasciitis is a group of illnesses caused by an infectious bacterium that causes deeper soft tissue necrosis. It is an infectious condition that can be fatal, with a death rate that can range from 17% to 34%. Having a deeper understanding of pathophysiology is essential to giving superior medical or surgical care. The current investigation sought to quantify the incidence of necrotizing fasciitis and ascertain the most successful course of treatment for the condition. Methods: The study included all patients of necrotizing fasciitis admitted to DMCH between November 2009 and October 2011. A combination of clinical and gross anatomical observations, biochemical characterisation, and microbiological assessment were used to make the diagnosis. Results: Among the patients, a male predominance was seen. The majority of symptoms (95%) were reported as pain, with a mean duration of 10.08 days. The most prevalent etiological factor was trauma (30%), and the most common associated comorbid disease among patients was diabetes mellitus (38.3%), followed by hypertension (30%) in 18 cases. In 37 (61.7%) patients, the culture was monomicrobial; in 22 (36.7%) patients, it was polymicrobial; and in 1.7% of patients, it was sterile. Of the isolates, 86.7% were aerobic and 13.3% were anaerobic. The most prevalent bacterium among the patients was E. coli. Conclusion: In extreme situations, the presence of soft tissue gas and necrotic skin helps with the proper diagnosis. Debridement should then be performed right away and frequently. Since the anaerobes are isolated, a quick and thorough second inspection is required. Therapeutic planning might benefit greatly from the study’s findings.
Files
IJPCR,Vol16,Issue4,Article158.pdf
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Additional details
Dates
- Accepted
-
2024-03-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue4,Article158.pdf
- Development Status
- Active
References
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