Necrotizing Soft Tissue Infections of the Upper Extremity

被引：5

作者：

Melillo, Atlee ^{[1
]}

Addagatla, Kamal ^{[1
]}

Jarrett, Nicole J. ^{[1
]}

机构：

[1] Cooper Univ Hlth Care, Div Plast Surg, 3 Cooper Plaza,Suite 411, Camden, NJ 08103 USA

来源：

HAND CLINICS | 2020年 / 36卷 / 03期

关键词：

Necrotizing soft tissue infection; NSTI; Hand infection; LABORATORY RISK INDICATOR; CLINICAL PRESENTATION; FASCIITIS; DIAGNOSIS; LIMB; MICROBIOLOGY; PREDICTORS; MANAGEMENT; SCORE;

D O I：

10.1016/j.hcl.2020.03.007

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Necrotizing soft tissue infections of the upper extremity have varying microbiologies and etiologies. Risk factors for development include diabetes mellitus, intravenous drug use, peripheral arterial disease, smoking, alcohol abuse, and immunocompromised state. Although clinical examination is the mainstay of diagnosis, laboratory tests and imaging can aid in diagnosis. Surgical debridements usually are needed for treatment, with resultant defects that often require reconstruction. Rates of amputation are reported as 22% to 37.5% and mortality from necrotizing soft tissue infections of the upper extremity from 22% to 34%. Prompt surgical and antimicrobial treatment is necessary to decrease risk of loss of limb or life.

引用

页码：339 / +

页数：8

共 50 条

[31] Current diagnosis and management of necrotizing soft tissue infections: What you need to know [J].

Bisgaard, Erika K. ;

Bulger, Eileen M. .

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2024, 97 (05) :678-686

[32] Efficacy of Wound Coverage Techniques in Extremity Necrotizing Soft Tissue Infections [J].

Lauerman, Margaret H. ;

Scalea, Thomas M. ;

Eglseder, W. Andrew ;

Pensy, Raymond ;

Stein, Deborah M. ;

Henry, Sharon .

AMERICAN SURGEON, 2018, 84 (11) :1790-1795

[33] Non-necrotizing and necrotizing soft tissue infections in South America: A retrospective cohort study [J].

Gomes Siqueira, Gustavo Lopes ;

de Olinda, Ricardo Alves ;

Barbosa de Siqueira, Camila Meira ;

de Vasconcelos Sa Torres, Analice Barros ;

Viana Correa, Luana de Carvalho ;

Silva Lacerda, Francisco de Assis ;

Fernandes Guimaraes, Pablo Luiz .

ANNALS OF MEDICINE AND SURGERY, 2020, 59 :24-30

[34] Necrotizing Soft-Tissue Infections [J].

Mullangi, Praveen K. ;

Khardori, Nancy Misri .

MEDICAL CLINICS OF NORTH AMERICA, 2012, 96 (06) :1193-+

[35] Necrotizing soft-tissue infections [J].

Ustin, Jeffrey S. ;

Malangoni, Mark A. .

CRITICAL CARE MEDICINE, 2011, 39 (09) :2156-2162

[36] Survival and Health-Related Quality of Life after Hospitalization for Necrotizing Soft Tissue Infections of the Upper Extremity: A Long-Term Outcome Study [J].

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Verhiel, Svenna H. W. L. ;

Nierich, Juliette ;

Eberlin, Kyle R. ;

Hietbrink, Falco ;

Chen, Neal C. .

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[37] Pathogenesis, classification and diagnosis of necrotizing soft tissue infections [J].

Schnuerer, S. ;

Beier, J. P. ;

Croner, R. ;

Rieker, R. J. ;

Horch, R. E. .

CHIRURG, 2012, 83 (11) :943-+

[38] Necrotizing Soft-tissue Infections: An Orthopaedic Emergency [J].

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May, Addison ;

Obremskey, William T. .

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2019, 27 (05) :E199-E206

[39] Necrotizing soft tissue infections in the intensive care unit [J].

Phan, Ho H. ;

Cocanour, Christine S. .

CRITICAL CARE MEDICINE, 2010, 38 (09) :S460-S468

[40] Current management of necrotizing soft-tissue infections [J].

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