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Published on: February 9, 2011
Necrotising soft tissue infections
Ingunn Margareetta Gundersen1, Trond Bruun1, Stian Kreken Almeland2
1Seksjon for infeksjonssjukdommar, Medisinsk klinikk, Haukeland universitetssjukehus, og, Klinisk institutt 2, Det medisinske fakultet, Universitetet i Bergen.
Abstract:
Necrotising soft tissue infections can affect the skin, subcutaneous tissue, superficial fascia, deep fascia and musculature. The infections are severe, they spread quickly and can result in extensive tissue loss. Although rare, morbidity and mortality rates are high. Early clinical identification is crucial for the outcome, and rapid infection control through surgery and targeted antibiotic treatment is needed to save lives. Few prospective clinical trials have been conducted for the treatment of this type of infection. Specific challenges include rapid identification of the condition and the uncertain efficacy of the various treatment options. In this clinical review article, we describe clinical characteristics, diagnostics and treatment.
Insights
Necrotising soft tissue infections are severe, rapidly spreading conditions requiring prompt surgical and antibiotic treatment. Early diagnosis is critical for improving patient outcomes and reducing high morbidity and mortality rates associated with these infections.
Area of Science:
- Infectious Diseases
- Surgical Pathology
- Dermatology
Background:
- Necrotising soft tissue infections (NSTIs) are severe bacterial infections affecting skin, subcutaneous tissue, fascia, and musculature.
- These infections spread rapidly, leading to extensive tissue loss, high morbidity, and mortality.
- Despite their severity, prospective clinical trials on NSTI treatment are limited.
Conclusions:
- Prompt diagnosis and aggressive surgical intervention are essential for managing necrotising soft tissue infections.
- Targeted antibiotic therapy plays a crucial role in controlling infection spread and improving patient survival.
- Further prospective studies are needed to clarify optimal treatment protocols for NSTIs.
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