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Necrotizing fasciitis: A comprehensive review.

Leon L Chen¹, Brian Fasolka, Caitlin Treacy

¹Leon L. Chen is a clinical assistant professor at New York University Rory Meyers College of Nursing in New York, N.Y., and the clinical program manager of research and simulated learning for the Department of Anesthesiology and Critical Care Medicine at Memorial Sloan Kettering Cancer Center in New York; Brian J. Fasolka is a clinical assistant professor at New York University Rory Meyers College of Nursing and an ED RN at Lenox Hill Hospital/Northwell Health in New York; and Caitlin Treacy is an NP with the Mobile Interventional Radiology Unit at Memorial Sloan Kettering Cancer Center in New York.

|August 23, 2020

Summary

Necrotizing soft-tissue infections (NSTIs) are severe bacterial infections requiring prompt recognition and treatment. This review details necrotizing fasciitis (NF) classifications, diagnostics, and management strategies.

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Area of Science:

Infectious Diseases
Surgical Pathology

Background:

Necrotizing soft-tissue infections (NSTIs) are rare, aggressive bacterial infections.
These infections carry significant morbidity and mortality risks.
NSTIs encompass necrotizing fasciitis, myositis, and cellulitis.

Purpose of the Study:

To provide a comprehensive overview of necrotizing fasciitis (NF).
To discuss NF classifications, clinical presentations, and diagnostic methods.
To outline evidence-based treatments and nursing care for NF.

Main Methods:

Literature review focusing on necrotizing fasciitis.
Analysis of classifications, clinical features, and diagnostic approaches.
Synthesis of current evidence-based treatment and nursing interventions.

Main Results:

NF requires rapid diagnosis and multidisciplinary management.
Early surgical intervention and broad-spectrum antibiotics are crucial.
Accurate classification aids in treatment planning and prognosis.

Conclusions:

Necrotizing fasciitis is a medical emergency demanding swift action.
Effective management hinges on timely diagnosis, appropriate treatment, and supportive care.
Understanding NF nuances is vital for improving patient outcomes.