Streptococcal Necrotizing Soft Tissue Infection: Diagnosis and Surgical Treatment

Lipatov, K.V.; Komarova, Elena A.; Гурьянов, Р. А.

doi:10.17650/2408-9613-2015-2-1-6-12

Cited by 7 publications

(1 citation statement)

References 5 publications

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“…Проте останнім часом із осередку запалення все частіше висівається стафілокок або мікробні асоціації. Своєю чергою, мікробні асоціації формуються у хворих на бешиху внаслідок дис-бактеріозу шкіри та пригнічення місцевого імунітету токсинами стрептококу [4,12 ].…”

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Variety of Diagnosed Microorganisms in Patients With Erysipelas

Vasilevskaya

Shapoval

2021

Scientific and practical journal

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Purpose. The purpose is to find out the frequency of surgical forms of erysipelas among the general population of the disease. Materials and methods. Traditionally, there is a widespread point of view about streptococcal etiology of erysipelas. However, recently, staphylococcus or microbial associations are increasingly sown from the focus of inflammation in patients. The relevance of studying the course of erysipelas is determined by the tendency to relapse, a significant increase in complications of the disease in recent years and the final phenomena. The existing clinical situation is largely explained by changes in the spectrum of pathogens of purulent surgical infection of soft tissues. Its leading pathogens are mainly staphylococci and streptococci, as well as gram - negative aerobic bacteria. The nature of the clinical course of the disease, including the nature of the local inflammatory focus, depends on the totality of the pathogenic properties of microbes that form the microbial landscape. It was found that most often the local focus was localized on the lower extremities. 114 case histories of patients who were hospitalized in the center of purulent-septic surgery in the Non-profit municipal enterprise “City Hospital № 3” in Zaporizhzhia for the period 2019-2020 were analyzed retrospectively and prospectively. All patients were diagnosed with erysipelas on admission, according to the forms: erythematous - 24 (21.0%), bullous - 28 (24.6%), phlegmonous form - 48 (42.1%), necrotic - 14 (12.3%). %). Disease relapses were noted in 21 patients. In terms of gender: men - 47 (41.2%), women - 67 (58.8%). The patients' age was 62.1 ± 2.6 years. Automated devices "Vitek-2" or "BaCT ALERT" (France) were used to determine the sensitivity of microorganisms in a purulent focus to antibacterial drugs. Statistical analysis was performed using the “Statgraphics Plus for Windows 7.0” software package. Research results and their analysis. It was found that most often the local focus was localized on the lower extremities. A total of 26 types of bacteria were identified from the wound contents of patients with destructive forms of erysipelas. No bacterial growth was found in 3 (4.8%) patients, and mixed flora was isolated in 27 (45.8%) patients. Gram-positive flora accounted for 61.0%, gram-negative flora - 35.6%, anaerobes - were not found, fungi - 3.4%. Conclusions. The number of destructive forms of erysipelas among the general population of the disease is more than 50%. The study of purulent-necrotic foci in patients with destructive forms of erysipelas makes it possible to determine the qualitative and quantitative composition of microflora, sensitivity to antibiotics, and make adjustments to the conduction of antibiotic therapy.

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Variety of Diagnosed Microorganisms in Patients With Erysipelas

Vasilevskaya

Shapoval

2021

Scientific and practical journal

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Necrotizing Soft Tissue Infection Management: a Clinical Case Study

Sukovatykh,

Blinkov,

Zaitsev

et al. 2024

VECS

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Necrotizing soft tissue infection is a rare (0.4 cases per 100,000 population) but very severe pathology with a mortality rate up to 10%. The paper presents a clinical case of successful management of necrotizing soft tissue infection of the right arm, lateral wall of the chest and abdomen. The dynamics of the wound process was controlled by clinical, bacteriological, X-ray and ultrasound examinations. The cause of necrotizing soft tissue infection in this patient was the associated anaerobic nonclostridial and aerobic flora. Numerous surgical interventions were used to manage the patient; they were aimed at the excision of the necrotic tissue at the start of treatment, plastic surgery of postoperative wounds with local tissues was used at the end of treatment. The progression of the necrotic process was stopped after the third intervention. In addition to surgical treatment, the patient received antibacterial, detoxification, and immunostimulating therapy. Despite numerous staged surgeries with the excision of the necrotic skin, subcutaneous fat and fascia, it was possible to completely restore the patient’s ability to work.

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Clinical case of necrotizing fasciocellululitis on the upper limb in a young patient

Zhukov

2020

Rany i ranevye infekcii

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Streptococcal Necrotizing Soft Tissue Infection: Diagnosis and Surgical Treatment

Cited by 7 publications

References 5 publications

Variety of Diagnosed Microorganisms in Patients With Erysipelas

Variety of Diagnosed Microorganisms in Patients With Erysipelas

Necrotizing Soft Tissue Infection Management: a Clinical Case Study

Clinical case of necrotizing fasciocellululitis on the upper limb in a young patient

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