Abstract
Necrotizing fasciitis (NF) is a severe soft tissue infection, which has a reported 25 per cent to 60 per cent mortality rate. In addition, NF has been reported to occur after invasive procedures. We present a 10-year retrospective study on postprocedural NF and its differences with community-acquired NF. A retrospective study was conducted from 1996 to 2006. Charts were searched using International Classification of Diseases, 9th Revision codes for NF and gas gangrene. Patients who developed NF in the area of their previous procedure without any other inciting cause of the NF were deemed eligible for the study. Eleven patients met eligibility criteria. Seven patients' initial procedures were elective, whereas four were semiemergent. The median age was 48 years (range, 24-81 years). The time between the initial procedure and operation for NF varied from 3 days to over 3 months. No single laboratory value helped in diagnosing NF. Sixteen different bacteria were isolated from the 11 patients. Ten of 11 patients required multiple debridements. There were four mortalities, three of whom had comorbidities known to predispose to infection. NF is a rare but serious complication after invasive procedures. As a result of important differences that exist between postprocedural and community-acquired NF, we propose that postprocedural NF should be classified in its own subcategory.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 405-409 |
| Number of pages | 5 |
| Journal | American Surgeon |
| Volume | 74 |
| Issue number | 5 |
| State | Published - May 1 2008 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
Cite this
Postprocedural necrotizing fasciitis : A 10-year retrospective review. / Miller, Aaron T.; Saadai, Payam; Greenstein, Alexander; Divino, Celia M.
In: American Surgeon, Vol. 74, No. 5, 01.05.2008, p. 405-409.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Postprocedural necrotizing fasciitis
T2 - A 10-year retrospective review
AU - Miller, Aaron T.
AU - Saadai, Payam
AU - Greenstein, Alexander
AU - Divino, Celia M.
PY - 2008/5/1
Y1 - 2008/5/1
N2 - Necrotizing fasciitis (NF) is a severe soft tissue infection, which has a reported 25 per cent to 60 per cent mortality rate. In addition, NF has been reported to occur after invasive procedures. We present a 10-year retrospective study on postprocedural NF and its differences with community-acquired NF. A retrospective study was conducted from 1996 to 2006. Charts were searched using International Classification of Diseases, 9th Revision codes for NF and gas gangrene. Patients who developed NF in the area of their previous procedure without any other inciting cause of the NF were deemed eligible for the study. Eleven patients met eligibility criteria. Seven patients' initial procedures were elective, whereas four were semiemergent. The median age was 48 years (range, 24-81 years). The time between the initial procedure and operation for NF varied from 3 days to over 3 months. No single laboratory value helped in diagnosing NF. Sixteen different bacteria were isolated from the 11 patients. Ten of 11 patients required multiple debridements. There were four mortalities, three of whom had comorbidities known to predispose to infection. NF is a rare but serious complication after invasive procedures. As a result of important differences that exist between postprocedural and community-acquired NF, we propose that postprocedural NF should be classified in its own subcategory.
AB - Necrotizing fasciitis (NF) is a severe soft tissue infection, which has a reported 25 per cent to 60 per cent mortality rate. In addition, NF has been reported to occur after invasive procedures. We present a 10-year retrospective study on postprocedural NF and its differences with community-acquired NF. A retrospective study was conducted from 1996 to 2006. Charts were searched using International Classification of Diseases, 9th Revision codes for NF and gas gangrene. Patients who developed NF in the area of their previous procedure without any other inciting cause of the NF were deemed eligible for the study. Eleven patients met eligibility criteria. Seven patients' initial procedures were elective, whereas four were semiemergent. The median age was 48 years (range, 24-81 years). The time between the initial procedure and operation for NF varied from 3 days to over 3 months. No single laboratory value helped in diagnosing NF. Sixteen different bacteria were isolated from the 11 patients. Ten of 11 patients required multiple debridements. There were four mortalities, three of whom had comorbidities known to predispose to infection. NF is a rare but serious complication after invasive procedures. As a result of important differences that exist between postprocedural and community-acquired NF, we propose that postprocedural NF should be classified in its own subcategory.
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UR - http://www.scopus.com/inward/citedby.url?scp=44649163927&partnerID=8YFLogxK
M3 - Review article
C2 - 18481496
AN - SCOPUS:44649163927
VL - 74
SP - 405
EP - 409
JO - American Surgeon
JF - American Surgeon
SN - 0003-1348
IS - 5
ER -