An approach to the management of necrotising fasciitis in neonates

Necrotising fasciitis is a severe, life‐threatening soft tissue infection. It produces an extensive cellulitis with severe involvement of subcutaneous tissue, fascia, muscle or both, resulting in necrosis of the tissue. All age groups, including neonates, can be affected. Patients with necrotising f...

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Bibliographic Details
Published in:International wound journal 2005-06, Vol.2 (2), p.178-180
Main Authors: Zuloaga-Salcedo, Soraya, Contreras-Ruiz, José, Dominguez-Cherit, Judith, Vega-Memije, Elisa
Format: Article
Language:English
Subjects:
Bandages, Hydrocolloid
Clinical Challenge
Debridement
Fasciitis, Necrotizing - therapy
Female
Humans
Infant, Newborn
Negative pressure therapy
Neonate
Vacuum
Vacuum-assisted closure
Wound
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Summary:Necrotising fasciitis is a severe, life‐threatening soft tissue infection. It produces an extensive cellulitis with severe involvement of subcutaneous tissue, fascia, muscle or both, resulting in necrosis of the tissue. All age groups, including neonates, can be affected. Patients with necrotising fasciitis present with more severe constitutional symptoms and have a poor outcome, unless aggressive antibiotic therapy and surgical debridement are instituted promptly. The debridement of necrotic tissue is imperative to control the infection, but results in deep wounds that require further treatment. In this study, the neonate was treated with alginate dressings and negative pressure therapy after resolution of cellulitis, with excellent results and no untoward events.
ISSN:1742-4801
1742-481X
DOI:10.1111/j.1742-4801.2005.00104.x