Yumuşak doku infeksiyonlarında mortaliteyi etkileyen faktörler

Nekrotizan yumuşak doku infeksiyonlan görece az görülen ancak invaziv ve ölümcül hastalıklardır. Birbirine benzeyen yumuşak doku infeksiyonlan için tanısal ve prognostik bazı yardımcı yöntem ve teknikler -kullanım kısıtlıklarına rağmen-tanımlanmıştır. Bunlar arasında, "LRINEC" (laboratory risk indicator for necrotizing fasciitis) skor sistemi, transkutanöz oksijen monitorizasyonu ve MRG sayılabilir. Ancak bu yardımcı yöntemlerin hiçbiri tanıda ve mortaliteyi azaltmada kanıtlanmış bir etki göstermemişlerdir. Günümüzde, geçerli olan en iyi yaklaşım, nekrotizan fasiit kuşkusu doğduğunda erken cerrahi eksplorasyon ve debridmandır.

Anahtar Kelimeler:

Seyir, Yumuşak doku enfeksiyonları, Ölüm oranı, Fasiit, nekrotize, Tanı

Predictors of mortality in soft tissue infections

Necrotizing soft tissue infections are relatively uncommon but invasive and potentially lethal diseases. Potential use and limitations of various diagnostic and prognostic adjuncts are avaiblefor the assessment of equivocal cases of soft tissue infections. The "LRINEC" (laboratory risk indicator for necrotizing fasciitis) score and transcutaneous tissue oxygen monitoring or MRI are examples of such adjuncts. But none of them have yet showed improved diagnostic yield or decreased mortality. At the moment, when doubts remain of necrotizing fasciitis the best management is early surgical exploration and debridman.

Keywords:

Prognosis, Soft Tissue Infections, Mortality, Fasciitis, Necrotizing, Diagnosis,

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