Necrotising Fasciitis Flashcards
1
Q
Organisms responsible for Type 1 and Type 2 Necrotising Fasciitis
A
Type 1
- mixed anaerobes and aerobes
- most common type
Type 2
- Streptococcus pyogenes
2
Q
When does Type 1 necrotising fasciitis commonly occur
A
post-surgery in diabetic patients
3
Q
Risk factors for necrotising fasciitis
A
- recent skin trauma
- diabetes mellitus
(+SGLT2 inhib) - IVDU
- immunosuppression
4
Q
Most commonly affected site with necrotising fascitiis
A
perineum
(fournier’s gangrene)
5
Q
Clinical features of necrotising fasciitis
A
- acute onset
- pain, swelling, erythema
- pain out of keeping with physical features
- tender over infected tissue
- skin necrosis and crepitus/gas
6
Q
Management of necrotising fasciitis
A
- urgent surgical referral for debridement
- intravenous antibiotics
7
Q
A
