Necrotizing soft-tissue infections

In the realm of clinical practice, this disease entity defies applicability to any classification scheme. Of paramount importance is the early identification of all necrotizing soft-tissue infections. This requires a high index of suspicion, aided by recognition of various risk factors and organ sys...

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Bibliographic Details
Published inThe Surgical clinics of North America Vol. 74; no. 3; p. 591
Main Authors Sutherland, M E, Meyer, A A
Format Journal Article
LanguageEnglish
Published United States 01.06.1994
Subjects
Clostridium Infections - diagnosis
Clostridium Infections - drug therapy
Clostridium Infections - surgery
Extremities - microbiology
Humans
Hyperbaric Oxygenation
Necrosis
Perineum - microbiology
Streptococcal Infections - diagnosis
Streptococcal Infections - drug therapy
Streptococcal Infections - surgery
Surgical Wound Infection - diagnosis
Surgical Wound Infection - drug therapy
Surgical Wound Infection - surgery
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Summary:In the realm of clinical practice, this disease entity defies applicability to any classification scheme. Of paramount importance is the early identification of all necrotizing soft-tissue infections. This requires a high index of suspicion, aided by recognition of various risk factors and organ system dysfunction out of proportion to the extent of local signs and symptoms. Expedient, aggressive surgical therapy is imperative: resuscitation, wide débridement, and antibiotic therapy. Once the infection has been controlled, continued supportive care, reconstruction, and rehabilitation can proceed.
ISSN:0039-6109
DOI:10.1016/S0039-6109(16)46331-0