Clinical Feature of Necrotizing Fasciitis Patients in Phaholpolpayuhasena Hospital
Keywords:
necrotizing fasciitis, diabeties mellitusAbstract
Objective: To demonstrate clinical feature of necrotizing fasciitis patients in Phaholpolpayuhasena Hospital.
Materials and methods: Descriptive study by collecting clinical data of 299 necrotizing fasciitis patients in Phaholpolpayuhasena Hospital between 1 January 2013 until 31 December 2016.
Results: There were 158 males (52.8%) and 26 subjects were foreign workers (8.7%). 205 cases (68.6%) had at least one underlying disease, 48.6% of the patients had diabetes. 182 cases (60.9%) could not be identified causes of infection otherwise, 47 cases (15.7%) had minor penetrating injuries. About the treatments and outcomes, major of the patients (78.3%) underwent only one debridement 234 cases (78.3%) improved after treatment, and also 26 patients (8.7%) were returned to community hospitals after some improvement. However, there were 17 patients whose symptoms did not improve and had to be referrer to higher lovel hospitals. There were 26 deaths and 1 patient had limb amputation. The patients had an average hospital stay of 8.8 days and had an average cost of 29,230 baht per case.
Conclusion: Nearly 50% of patients had diabetes. More them half patients had no history of wounds, and the rest of patients had minor injuries leading to necrotizing fasciitis. Even the fair results of treatment at Phaholpolpayuhasena Hospital, though death rate in this group of patients was still high. Besides prompt diagnosis and treatment, prevention should focus on the care of patients with diabetic mellitus, by diabetes control and minor wound care.
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