Necrotizing Fascitis Flashcards
Is NF commonly seen in males or females
Males
10:1
What are the causes of necrolizing fasciitis
Urethra strictures
Urethra injuries
Indwelling catheter
Perirectal/ischiorectal abscesses
Anorectal procedures
Cutaneous infection/ trauma
What medical conditions predispose you to NF
Chronic alcoholism
DM
Immunocompromised (HIV/AIDS, steroids)
Chemo
Transplant
Malnutrition
What organisms are commonly associated with NF
Anaerobes and aerobes
Ecoli
Bacteroides
Strep
Staph
Peptostreptococci
Clostridia
What causes tissue destruction in NF
Ischemia
Synergistic action of various bacteria
Production of enzymes and proteins by organisms (hyaluronidase, coagulase)
What emergent therapies assist in wound healing for NF
Unprocessed honey
Vacuum assisted closure
What to do if a pt with NF deteriorates after having surgical debridementb
Hyperbaric Oxygen Therapy