Bacteriological Spectrum in Necrotising Fasciitis

Dr. Ashok Rai, Dr. Pawankumar Jha, Dr. Yashpal Jajoria

Abstract: Necrotising fasciitis is a relatively rare but seriously fatal soft tissue infection. Prompt treatment with extensive surgical debridement and antibiotics is the main principle. The wound swab culture sensitivity reports of patients (n=50) from august 2018 to february 2020 were analysed. Type I infection was dominating. The involvement of anaerobic bacteria was associated with an increase in the number of surgical revisions. In severe cases the combination of necrotic skin and soft tissue gas facilitates the correct diagnosis, which then should be followed by immediate and repeated debridement. If anaerobes are isolated then wound should be frequently reassessed.

Keywords: Necrotising fasciitis, empirical, culture, sensitivity, ceftriaxone