Necrotizing fasciitis: treatment concepts & clinical outcomes – an institutional experience

Necrotizing fasciitis is a soft tissue infection with a high mortality rate. The clinical features and determinants of mortality in patients with NF are highlighted in this study. At the outset, a high index of suspicion was critical. Using prognostic evaluation techniques in daily clinical practice will assist medical professionals in providing adequate on-time care and significantly lowering mortality. The AUC for LRINEC score, although significant, is low. LRINEC score is not to be used to determine whether surgical intervention should be expedited or anticipated. Its role is to aid in prognosticating the outcome of the individual patient. Our study concludes that early extensive surgical debridement remains the single most crucial intervention in patients diagnosed with necrotizing fasciitis (NF), regardless of disease severity and the LRINEC score.

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Publication Details

Journal
BMC Surgery
Published
2024-10-28
DOI
https://doi.org/10.1186/s12893-024-02638-2
Citations
10
Primary Topic
Streptococcal Infections and Treatments
Type
article
Field-Weighted Citation Impact
5.43
Controls
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article

Necrotizing fasciitis: treatment concepts & clinical outcomes – an institutional experience

Vivek Viswanath, Ajay Raveendranadh, S Prasad
10 citations
BMC Surgery
Streptococcal Infections and Treatments
5.43
article

Necrotizing fasciitis: treatment concepts & clinical outcomes – an institutional experience

Vivek Viswanath, Ajay Raveendranadh, S Prasad
article en
10 citations

Abstract

Necrotizing fasciitis is a soft tissue infection with a high mortality rate. The clinical features and determinants of mortality in patients with NF are highlighted in this study. At the outset, a high index of suspicion was critical. Using prognostic evaluation techniques in daily clinical practice will assist medical professionals in providing adequate on-time care and significantly lowering mortality. The AUC for LRINEC score, although significant, is low. LRINEC score is not to be used to determine whether surgical intervention should be expedited or anticipated. Its role is to aid in prognosticating the outcome of the individual patient. Our study concludes that early extensive surgical debridement remains the single most crucial intervention in patients diagnosed with necrotizing fasciitis (NF), regardless of disease severity and the LRINEC score.

BMC SurgeryVol. 24(1)
Manipal Academy of Higher Education (IN), Kasturba Medical College, Manipal (IN)
Good health and well-being
Openalex Percentile: Top 4%
Streptococcal Infections and Treatments
5.43
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