Study on influence of LRINEC Scoring System (Lab Risk Factors Influencing Necrotizing Fasciitis), Limb Vascularity and Microbial Flora on outcome of necrotizing fasciitis
2015
AIM OF THE STUDY :
To study the influence of the following factors on the outcome of patients with
Necrotizing Fasciitis :
1. LRINEC (LAB RISK FACTORS INFLUENCING NECROTIZING
FASCIITIS) scoring system,
2. Doppler study of affected limb,
3. Microbial flora.
MATERIALS AND METHODS :
Patients presenting with signs and symptoms of Necrotizing
Fasciitis admitted during August 2013 to August 2014 at Madras Medical
College (MMC) and Rajiv Gandhi Govt. General Hospital (RGGGH), were
counseled for investigation and treatment of Necrotizing Fasciitis and its
complication. 50 patients were treated in the above hospital over the period of 1
year and the results studied.
RESULTS :
From this study, LRINEC SCORING SYSTEM has been found to be a
reliable scoring system in early detection of necrotising fasciitis and in
predicting the prognosis of the disease. A score more than 8 is almost definitive
of necrotizing fasciitis and mandates active debridement and aggressive
management for a better outcome. But DOPPLER ultrasound and microbial
flora have not bee found to have significant correlation with the outcome.
CONCLUSION:
There exists a significant correlation between LRINEC scoring system
and prognosis of Necrotizing fasciitis. But there is no significance between the
type of MICROBIAL FLORA or VASCULARITY of the affected limb and the
outcome of necrotizing fasciitis. Early detection and aggressive debridement are
essential in determining the outcome of necrotising fasciitis.
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