Necrotizing soft tissue infections in the intensive care unit

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

Necrotizing soft tissue infection is a severe illness that is associated with significant morbidity and mortality. It is often caused by a wide spectrum of pathogens and is most frequently polymicrobial. Care for patients with necrotizing soft tissue infection requires a team approach with expertise from critical care, surgery, reconstructive surgery, and rehabilitation specialists. The early diagnosis of necrotizing soft tissue infection is challenging, but the keys to successful management of patients with necrotizing soft tissue infection are early recognition and complete surgical debridement. Early initiation of appropriate broad-spectrum antibiotic therapy must take into consideration the potential pathogens. Critical care management components such as the initial fluid resuscitation, end-organ support, pain management, nutrition support, and wound care are all important aspects of the care of patients with necrotizing soft tissue infection. Soft tissue reconstruction should take into account both functional and cosmetic outcome.

Original languageEnglish (US)
JournalCritical Care Medicine
Volume38
Issue numberSUPPL. 9
DOIs
StatePublished - Sep 2010

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Keywords

  • fasciitis
  • hyperbaric oxygenation
  • intensive care unit
  • Laboratory Risk Indicator for Necrotizing Fasciitis
  • methicillin-resistant Staphylococcus aureus
  • Necrotizing soft tissue infection

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Medicine(all)

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