Volume : 6, Issue : 11, November - 2017

A PROSPECTIVE CLINICAL AND MICROBIOLOGICAL STUDY OF NECROTIZING FASCIITIS

Dr. T. K. Sowmya, Dr. K. Rajachidambaram

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 10pt;">Necrotizing fasciitis (NF) is a rare but potentially fatal infection involving the subcutaneous tissue and fascia. It is commonly known as&nbsp;</span><em style="font-family: &quot;Times New Roman&quot;, serif; font-size: 10pt;">flesh-eating disease.</em></p> <p class="MsoNormal"><em><b><span lang="EN-IN" style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">Aim of the study</span></b></em><em><b><span lang="EN-IN" style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-style: normal;"><o:p></o:p></span></b></em></p> <p class="MsoNormal"><em><span lang="EN-IN" style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">This study is a prospective study on Necrotizing fasciitis its Clinical incidence, etio-pathogenisis&nbsp; in a rural hospital</span></em><em><span style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> of India</span></em><em><span lang="EN-IN" style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-style: normal;"><o:p></o:p></span></em></p> <p class="MsoNormal"><em><b><span lang="EN-IN" style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">Place of study</span></b></em><em><b><span lang="EN-IN" style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-style: normal;"><o:p></o:p></span></b></em></p> <p class="MsoNormal"><em><span lang="EN-IN" style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">Department of General surgery</span></em><em><span lang="EN-IN" style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-style: normal;"><o:p></o:p></span></em></p> <p class="MsoNormal"><em><span lang="EN-IN" style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">Chennai Medical College Hospital &amp;Research centre, Irungalur , Trichy, Tamilnadu</span></em><em><span style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">,India</span></em><em><span lang="EN-IN" style="font-size: 10pt; line-height: 115%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-style: normal;"><o:p></o:p></span></em></p> <p class="MsoNormal" style="margin-bottom:14.0pt;line-height:200%"><span lang="EN-IN" style="font-size:10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:GungsuhChe">The study period was from Feb 2010 &ndash; Feb 2013 and was prospective in design. A total of 27 patients were diagnosed to have Necrotizing fasciitis and entered our study group.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:14.0pt;line-height:200%"><span lang="EN-IN" style="font-size:10.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:GungsuhChe">Results<o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:14.0pt;&#10;margin-left:.75in;text-indent:-.5in;line-height:200%;mso-list:l0 level1 lfo1;&#10;tab-stops:.75in"><!--[if !supportLists]--><span lang="EN-IN" style="font-size:10.0pt;&#10;line-height:200%;font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:&#10;Symbol">&middot;<span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]--><span lang="EN-IN" style="font-size:10.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;GungsuhChe">In total 27 patients the study reported the age group ,gender, comman anatomical site and modalities of treatment Patients who were above 18 years of age were included in study.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:14.0pt;&#10;margin-left:.75in;text-indent:-.5in;line-height:200%;mso-list:l0 level1 lfo1;&#10;tab-stops:.75in"><!--[if !supportLists]--><span lang="EN-IN" style="font-size:10.0pt;&#10;line-height:200%;font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:&#10;Symbol">&middot;<span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]--><span lang="EN-IN" style="font-size:10.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;GungsuhChe">The offending organism was identified by a culture swab sent on the first day. This was repeated on the 7<sup>th</sup> day and earlier if there was no adequate response to medication. The sensitivity of the organisms to the various antibiotics was also studied.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:14.0pt;&#10;margin-left:.75in;text-indent:-.5in;line-height:200%;mso-list:l0 level1 lfo1;&#10;tab-stops:.75in"><!--[if !supportLists]--><span lang="EN-IN" style="font-size:10.0pt;&#10;line-height:200%;font-family:Symbol;mso-fareast-font-family:Symbol;mso-bidi-font-family:&#10;Symbol">&middot;<span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]--><span lang="EN-IN" style="font-size:10.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;GungsuhChe">Patients with Fournier&rsquo;s gangrene were also included in the study<o:p></o:p></span></p>

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Cite This Article:

Dr.T.K.Sowmya, Dr.K.Rajachidambaram, A PROSPECTIVE CLINICAL AND MICROBIOLOGICAL STUDY OF NECROTIZING FASCIITIS, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6, ISSUE-11, NOVEMBER-2017


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