[Role of hyperbaric oxygenation in the treatment of acute anaerobic infections].
Hyperbaric oxygenation (HBO), as an adjuvant treatment in necrotizing soft tissues infections and in gas gangrene is reviewed, including its specific effects, experimental studies and clinical reports. With a global therapeutic management, considered as an emergency state, including surgery, antibiotic regimens and HBO, we can obtained 50% mortality and morbidity decrease with a more conservative surgery. Finally, favorable outcome is associated with early therapeutics and localization of the initial necrotizing infection.
Wattel
F
F
Service d'Urgence respiratoire, de Réanimation médicale, et de Médecine hyperbare, hôpital Calmette, Lille.
Mathieu
D
D
Neviere
R
R
Chagnon
J L
JL
D000208:Acute Disease; D001421:Bacteria, Anaerobic; D001424:Bacterial Infections / Q000628:therapy*; D003015:Clostridium Infections / Q000628:therapy; D003646:Debridement; D005734:Gangrene / Q000628:therapy*; D005738:Gas Gangrene / Q000628:therapy*; D006801:Humans; D006931:Hyperbaric Oxygenation; D010406:Penicillins / Q000627:therapeutic use
D010406:Penicillins
Place de l'oxygénothérapie hyperbare dans le traitement des infections aiguës à germes anaérobies.