title: The use of a hydrofibre dressing in fulminating necrotizing fasciitis.
abstract: This article describes a case of necrotizing fasciitis in a 52-year-old man with previously undiagnosed diabetes. Treatment involved massive debridement and subsequent dressing of the open surgical wound. A modern hydrofibre dressing (Aquacel) was inserted intraoperatively and subsequently continued postoperatively. Wound healing occurred over 3 months and the patient was discharged with no disability. The dressing managed the exudate level and kept the wound moist. It also was well tolerated by the patient, was comfortable and easy for the nurses to remove and apply.
authors.affiliation: Department of Effective Healthcare, Scunthorpe and Goole Hospitals NHS Trust, North Lincolnshire.
authors.forename: L
authors.initials: L
authors.lastname: Foster
authors.forename: E
authors.initials: E
authors.lastname: Smith
authors.forename: P
authors.initials: P
authors.lastname: Moore
authors.forename: P
authors.initials: P
authors.lastname: Turton
mesh_terms: D002266:Carboxymethylcellulose Sodium / Q000627:therapeutic use*; D003646:Debridement; D016883:Diabetic Ketoacidosis / Q000150:complications / Q000175:diagnosis; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D018934:Fournier Gangrene / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006119:Groin; D006801:Humans; D007430:Intraoperative Care / Q000379:methods / Q000451:nursing; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods / Q000451:nursing; D012611:Scrotum; D017592:Skin Care / Q000379:methods / Q000451:nursing*; D013492:Suppuration; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D002266:Carboxymethylcellulose Sodium