부산대학교 도서관

Objective: Soft tissue infection including necrotizing fasciitis (NTSIs) is a serious, life-threatening disease, involving the muscle fascia and subcutaneous tissue. Since this is a disease that consumes high resources in health, we perform a retrospective analysis of 10 years for a better management. Methods: In a period of 10 years (January 2005 to 2015), all patients admitted to our institution with suspicion of (NTSI) relating demographic data, anatomical site of infection and mortality rate. Two separate bodily implications were defined 1) Above the knee & elbow & trunk (AKET) and 2) Below the knee & elbow (BKE). Kobayashi et al. Upon admission, Apache II, Sofa, were analyzed for the risk of (NTSIs), lactate and time of treatment. Results: 106 p with (NTSIs) were analyzed: 39 (36.7%) women, 67 (63.2%) men, average age 51.4±21.6 years and the overall average laboratory risk indicator of necrotizing fasciitis score was 6,5±3,5. The Apache II of the survivors was 11.8 vs 20.5 of the dead, the Sofa of the survivors 5.6 vs 6.5 of the dead. The average lactate of the living 1.54-mmol /L vs 3.45 mmol / L of the dead. The delay in admission to the surgery room was average 12.5±3.5 hours. The mortality rate was 45.2% (n 48). Conclusion: Soft tissue infection and necrotizing fasciitis are systemic and life threatening. Rapid debridement and multidisciplinary management to prevent progression and increase the average survival rate should accompany early diagnosis. [ABSTRACT FROM AUTHOR]