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Necrotizing soft tissue infections in the intensive care unit.
- Source :
-
Critical care medicine [Crit Care Med] 2010 Sep; Vol. 38 (9 Suppl), pp. S460-8. - Publication Year :
- 2010
-
Abstract
- Necrotizing soft tissue infection is a severe illness that is associated with significant morbidity and mortality. It is often caused by a wide spectrum of pathogens and is most frequently polymicrobial. Care for patients with necrotizing soft tissue infection requires a team approach with expertise from critical care, surgery, reconstructive surgery, and rehabilitation specialists. The early diagnosis of necrotizing soft tissue infection is challenging, but the keys to successful management of patients with necrotizing soft tissue infection are early recognition and complete surgical debridement. Early initiation of appropriate broad-spectrum antibiotic therapy must take into consideration the potential pathogens. Critical care management components such as the initial fluid resuscitation, end-organ support, pain management, nutrition support, and wound care are all important aspects of the care of patients with necrotizing soft tissue infection. Soft tissue reconstruction should take into account both functional and cosmetic outcome.
- Subjects :
- Fascia pathology
Humans
Hyperbaric Oxygenation
Methicillin-Resistant Staphylococcus aureus drug effects
Necrosis classification
Necrosis diagnosis
Necrosis drug therapy
Risk Assessment
Soft Tissue Infections classification
Soft Tissue Infections diagnosis
Soft Tissue Infections drug therapy
Soft Tissue Infections physiopathology
Subcutaneous Tissue pathology
Wound Healing
Intensive Care Units
Necrosis pathology
Soft Tissue Infections microbiology
Subjects
Details
- Language :
- English
- ISSN :
- 1530-0293
- Volume :
- 38
- Issue :
- 9 Suppl
- Database :
- MEDLINE
- Journal :
- Critical care medicine
- Publication Type :
- Academic Journal
- Accession number :
- 20724879
- Full Text :
- https://doi.org/10.1097/CCM.0b013e3181ec667f