Necrotising fasciitis Flashcards
1
Q
What is necrotising fasciitis
A
Life threatening SC soft tissue infection - may extend to deep fascia but not muscle
Rapidly progressive
2
Q
Presentation of nec fasc
A
Hot, red, swollen
Exquisitely tender, often outside margin of erythema, rapid progression w skin discolouration
Often septic and unstable
3
Q
Diagnosis of nec fasc
A
Clinical
Imaging may be heplful - air bubbbles under skin if anaerobes - but ust not delay treatment
4
Q
Pathogens causing nec fasc
A
Group A strep
Enterbacteriaceae (gram negative bowel)
Anaeribes
S.aureus
Often multipathogenic - multiple organisms, broad antibiotics w antittoxin coverage required
5
Q
Treatment for nec fasc
A
Surgical debridement
Culture - furture antibitoics
6
Q
Antibiotics for nec fasc
A
Tazocin/meroponem + clindamycin or linezolid
7
Q
A
