کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3364632 1592138 2009 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Necrotizing fasciitis in southeast Taiwan: clinical features, microbiology, and prognosis
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروبیولوژی و بیوتکنولوژی کاربردی
پیش نمایش صفحه اول مقاله
Necrotizing fasciitis in southeast Taiwan: clinical features, microbiology, and prognosis
چکیده انگلیسی

SummaryObjectivesTo determine the spectrum of microorganisms, clinical features, and risk factors of necrotizing fasciitis in southeast Taiwan.MethodsWe retrospectively studied patients diagnosed with necrotizing fasciitis and fully treated in our hospital for the period January 1995 to December 2006.ResultsThe mean age of the patients was 58.2 ± 14.2 years. The affected anatomical sites were primarily peripheral (91 patients, 85.8%). Sixty patients (56.6%) had a type 1 infection, 17 patients (16.0%) had type 2, and eight patients (7.5%) had type 3. Diabetes mellitus was the most common comorbidity. A single pathogen was identified as the infectious agent in 64 patients (60.4%), multiple pathogens were identified in 21 patients (19.8%), and no organism was identified in 21 patients (19.8%). Streptococcus pyogenes was the most common pathogen. The average hospital stay was 28.0 ± 23.1 days. Patients received a mean of 2.3 ± 1.2 debridements, and five patients (4.7%) eventually underwent an amputation. The overall mortality was 17.0%. Predictors of mortality included advanced age, class C liver cirrhosis, ascites, higher serum creatinine, and lower hemoglobin and platelet levels.ConclusionsMonobacterial infections are more common in our patients. Accurate early diagnosis and extensive surgical debridement are essential for a favorable outcome.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Infectious Diseases - Volume 13, Issue 2, March 2009, Pages 255–260
نویسندگان
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