A clinico-pathological study and management of necrotising fascitis

Abstract

Aims and objectives: The objective of this study was to evaluate our experience with the diagnosis and management of necrotizing fasciitis. The study also describes the clinical presentation and microbiological characteristics of this condition as well as the determinants of mortality associated with this common surgical emergency. Materials and methods: The data for the study was obtained from patients (in patient basis) who were provisionally diagnosed to have necrotizing fasciitis and myonecrosis by clinical evaluation and who were admitted at Kurnool General Hospital, Kurnool from November 2018 to October 2020 in this cross sectional observational study. All patients were studied and clinically analysed, necessary investigations were done and appropriate treatment was given. All cases were followed up to discharge and subsequently for a follow up on one month. Results and conclusion: The incidence of necrotizing fasciitis was seen highest in age group 41 to 60 years Male to female ratio was 4: 1. Most common site of involvement was lower extremity (62%). Most common predisposing factor was minor trauma (46%) followed by snake bites (22%) and idiopathic cause (22%). Average duration between onset of symptoms and first surgery was sentence missing. Klebsiella was the most common microorganism grown on aerobic culture media. Diabetes (38%) was the common co morbid condition come across in this study. Duration of hospital stay was approximately 8 to 61 days with an average around 29 days. Mortality rate was 14%