Bacteriology of necrotizing fasciitis: a review of 58 cases.
Necrotizing fasciitis is a relatively rare soft tissue infection that is characterized by rapidly widespread necrosis of the fascia and subcutaneous tissue. Fifty-eight cases were reviewed over a 5.5-year period. The majority of wound cultures were polymicrobial and single culture rate was 18.6%. The facultative organisms were most frequently recovered. The most frequently discovered bacteria were E. coli, Proteus mirabilis, Klebsiella pneumoniae, Staphylococcus aureus and group D enterococcus. The overall mortality rate was 48.3%. Early recognition, serial radical surgical debridement and strong and appropriate antibiotics were essential for survival.
Ou
L F
LF
Department of Surgery, Veterans General Hospital-Taipei, Taiwan, R.O.C.
Yeh
F L
FL
Fang
R H
RH
Yu
K W
KW
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001419:Bacteria / Q000302:isolation & purification*; D005208:Fasciitis / Q000188:drug therapy / Q000382:microbiology* / Q000401:mortality; D006801:Humans; D009336:Necrosis
D000900:Anti-Bacterial Agents