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Necrotizing Soft Tissue Infections: Management and its Outcome in a Tertiary Health Care Center: An Observational Study | Abstract
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International Journal of Medical Research & Health Sciences (IJMRHS)
ISSN: 2319-5886 Indexed in: ESCI (Thomson Reuters)

Abstract

Necrotizing Soft Tissue Infections: Management and its Outcome in a Tertiary Health Care Center: An Observational Study

Author(s):Ab. Hamid Wani, Satish Parihar, Javid Iqbal, Sourabh Katoch*, Sanjay Dhar and Nasib Chand Digra

Background: Necrotizing Soft Tissue Infections (NSTIs) is a life-threatening condition encountered by surgeons with high morbidity and mortality. It is a rapidly progressive disease and the overall mortality ranges between 25%-35% even in the best centers.

Aim: To study epidemiology, management, and outcome of patients with NSTIs.

Methods: Fifty patients were included in this observational study, irrespective of age and gender, all patients were thoroughly evaluated, investigated, resuscitated and debridement was done.

Results: Wound debridement was done in all patients, diversion in the form of colostomy was done in 03 (6%) patients and skin grafting in 17 (34%) patients, healing by secondary intention in 12 (24%) patients, delayed primary closure in 05 (10%) patients, local pedicle flap in 02 (4%) patients and rotational flap in 02 (4%) patients, with an overall mortality of 18% (09) patients.

Conclusion: Early diagnosis and treatment in the form of broad-spectrum antibiotics, multiple debridements’ and proper wound care is the key to success.


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