• K Kibadi, A Forli, T Martin Des Pallieres, G Debus, F Moutet, and D Corcella.
• Service de chirurgie plastique, de la main et des brûlés, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France.
• Ann Chir Plast Esthet. 2013 Apr 1;58(2):123-31.

UnlabelledNecrotizing fasciitis is a hypodermis, muscular fascia then dermis necrotizing infection.ObjectiveThe originality of this study is to present a series of necrotizing fasciitis treated and followed these last five years, and to compare the therapeutic results with those of the literature.Patients And MethodsWe led a retrospective study on the patients treated for necrotizing fasciitis between 2005 and 2009 by bringing together the demographic and clinical data, the bacteriological examinations and the results of management. Follow-up data from these patients during period of study (five years) were notified.ResultsSeventeen patients were treated (11 men and six women). The average age of the patients was 52 years (ranging from 28 to 82 years). Risk factors of necrotizing fasciitis for our patients were: nonsteroidal anti-inflammatory drugs (82.2%), cutaneous wound (76.4%), obesity (29.4%), oto-rhino-laryngologic diseases (23.5%), alcoholic and drug addicts (23.5%), and diabetis (11.7%). The most isolated and responsible germ was Streptococcus pyogenes in 75.5% of cases. Culture of specimens collected before antibiotic treatment showed that the bacterium was sensible to the antibiotics being administered (clindamycin in 70.5% of cases). The surgical management was early done with an average delay of 2.7 days (ranging from 1 to 15 days). We observed a low mortality rate (11.7%). One patient died during the period of follow-up after one year (average follow-up of 2.0 years; 1-3 years).ConclusionContrary to the data from the literature, this study presents a decrease of the mortality in necrotizing fasciitis with an early treatment and an adequate management. The precocity and the quality of surgical procedures as well as the presence of an underlying disease are determining factors for successful management of necrotizing fasciitis.Copyright © 2010 Elsevier Masson SAS. All rights reserved.

29 keywords...

hide…