ROLE OF MICROBIOLOGY IN TREATMENT OF NECROTIZING FASCIITIS –OUR INSTITUTION EXPERIENCE

Dr. Chris Thomas, Dr Shubha N Rao

Abstract


INTRODUCTION
Necrotizing fasciitis (NF) is a rare, potentially lethal bacterial infection
characterized by widespread necrosis of the skin, subcutaneous tissue,
and superficial fascia.1,2 Incidence - 0.4 and 0.53 cases per 100.000
population.3-5 Not only patients who present with pre-existing factors
but also young individuals may be affected. Approximately half of the
cases of streptococcal NF occur in young and previously healthy
patients.6 NF may result from any injury to the skin or from
hematogenous spread.1Any major or minor trauma compromising skin
integrity such as needle puncture, insect bites, burns, lacerations,
surgical wound, blunt trauma etc. may develop this insidiously
advancing soft-tissue condition.1,2A single species of bacteria, by itself,
or a polymicrobial infection may be responsible for NF.1


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