Title: Necrotizing soft tissue infections-A study in tertiary centre of North Bihar
Author: Santosh Kumar Sharma, MS
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.219
Abstract
Background: Necrotizing soft tissue infection (NSTIs) are the infection of soft tissue associated with necrosis. It is relatively common infection with high morbidity and mortality rate. The purpose of this study is to assess the different diagnostic methods, different mode of treatment and their outcomes
Method: Retrospectively clinical details of 80 patients diagnosed with NSTI during February 2015 to January 2017 in SKMCH, Muzaffarpur were recorded. A detailed case sheet regarding age, sex, risk factor, association with hypotension, aetiology, microbiology, complication, different method of treatment and the final outcome was prepared for each patient.. Patients were managed with the broad spectrum antibiotic; repeated debridement or fasciotomy followed by culture based antibiotic and later reconstruction by skin grafting.
Results and Conclusion: Most of the patient presented with pain and swelling. Diabetes and trauma were the most common predisposing factor. Most common organism isolated was streptococci. Early diagnosis and treatment by repeated debridement were the keys to improve survival and decrease morbidity.
Key words: Necrotizing soft tissue, Antibiotic, Fasciotomy, Skin grafting, Morbidity.
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