Clinical evaluation and treatment results of 30 patients with necrotizing fasciitis [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2004; 10(2): 110-114

Clinical evaluation and treatment results of 30 patients with necrotizing fasciitis

Güzin Yeşim Özgenel1, Selçuk Akın1, Ramazan Kahveci1, Serhat Özbek1, Mesut Özcan1
Uludağ Üniversitesi Tıp Fakültesi Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Bursa

BACKGROUND: We retrospectively evaluated patients who underwent treatment for necrotizing fasciitis within a five-year period. METHODS: Thirty patients (4 females, 26 males; mean age 55 years; range 19 to 78 years) with necrotizing fasciitis were evaluated with respect to age, sex, etiology, predisposing factors, localization of infections, culture results, and treatment methods and results. RESULTS: The most common etiologic and predisposing factors were anorectal lesions (36.7%) and diabetes (53.3%), respectively. Wound cultures yielded Pseudomonas aeruginosa in 50% of the patients. Two strains of aerobic bacteria were isolated in three patients. All patients underwent extensive surgical debridement and received antibiotic therapy. Twenty-nine patients (96.6%) required more than one debridement, with a mean of 4.5 debridements. The ensuing skin defects following debridement were reconstructed with grafts or local flaps. No complications were encountered in the postoperative period. CONCLUSION: Early diagnosis and treatment result in decreased morbidity and prevent mortality in necrotizing fasciitis.



Nekrotizan fasiitli 30 hastanın klinik değerlendirilmesi ve tedavi sonuçları

Güzin Yeşim Özgenel1, Selçuk Akın1, Ramazan Kahveci1, Serhat Özbek1, Mesut Özcan1
Uludağ Üniversitesi Tıp Fakültesi Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Bursa



Güzin Yeşim Özgenel, Selçuk Akın, Ramazan Kahveci, Serhat Özbek, Mesut Özcan. Clinical evaluation and treatment results of 30 patients with necrotizing fasciitis. Ulus Travma Acil Cerrahi Derg. 2004; 10(2): 110-114


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