|
KMID : 0358820070340030319
|
|
Journal of Korean Society of Plastic and Reconstructive Surgeons
2007 Volume.34 No. 3 p.319 ~ p.324
|
|
|
Analysis of Necrotizing Fasciitis Patient by Causative Pathogens
|
|
Park Sun-Hyung
Noh Bok-Kyun
Kim Eui-Sik
Hwang Jae-Ha
Kim Kwang-Seog
Lee Sam-Yong
|
|
|
Abstract
|
|
|
Purpose: Necrotizing fasciitis is a rapid progressive, life-threatening disease. Many organisms have been identified for causative pathogens of necrotizing fasciitis. And necrotizing fasciitis caused by Vibrio vulnificus is a matter of grace concern in Southwest seashore of Korea recently. But concrete analysis between these pathogens was not executed yet.
Methods: Sixty necrotizing fasciitis patients were included in this study. We divided the patients into 2 groups: Group A was the case which Vibrio vulnificus was cultured for causative pathogen of necrotizing fasciitis, and Group B was the case of other organisms. And we analysed each group for treatment, progression and prognosis.
Results: There was no significant difference between two groups in total hospital stay but there was a great difference in ICU stay and progression to septic shock. Also, there was a great difference in mortality within 48 hours but there was no difference in mortality of 48 hours after hospital visit.
Conclusion: This indicates that intial management of necrotizing fasciitis cased by Vibrio vulnificus is the key of treatment. So initial medical management with early surgical intervention is necessary for necrotizing fasciitis.
|
|
|
KEYWORD
|
|
|
Necrotizing fasciitis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|