ID:IOTS - Infectious Disease Insight Of Two Specialists 7. Necrotising Fasciitis
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Sep 22, 2021 Explore the urgent and deadly nature of necrotizing fasciitis, a fast-progressing infection requiring immediate action. Understand the critical signs and the need for timely surgical intervention alongside effective antibiotics. Delve into the complexities of treating this severe condition, especially in vulnerable patients, while navigating the challenges posed by accurate diagnosis and appropriate antimicrobial guidance. Learn about tailored treatments and case studies that illuminate the intricacies of managing skin and soft tissue infections.
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Presentation Is Rapid And Severe
- Necrotizing fasciitis presents rapidly and patients are almost always systemically unwell on arrival.
- If a patient looks well, true necrotizing fasciitis is unlikely but can deteriorate very quickly.
Act On Red Flags Immediately
- Look for pain out of proportion, anesthesia, crepitus and thin 'dishwater' discharge as red flags.
- Treat as a surgical emergency and prioritise antibiotics then urgent surgical review.
Give Broad Antibiotics And Call Surgery
- If you suspect necrotizing fasciitis, give broad bactericidal antibiotics and call surgery urgently.
- Use the LRINEC score only to support thinking but do not rely on a negative score to exclude disease.