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Source Control pp 208-215 | Cite as

Soft Tissue Infections

  • Seong K. Lee
  • Jan K. Horn
Chapter

Abstract

• Soft tissue infections can be classified as either simple or necrotizing. • Necrotizing soft tissue infections (NSTI) generally involve the subcutaneous tissue, fascia, or deeper tissues. Therefore, an NSTI may not be readily apparent on external inspection of the skin. • Patients with a history of blunt or penetrating trauma, diabetes mellitus, illicit parenteral drug use, burns, bites, stings, recent surgery, immunologic deficiency, or soft tissue contamination are at risk for NSTI. • Initial management of NSTI includes administration of antibiotics, hemodynamic monitoring and physiologic stabilization, treatment of electrolyte/acid-base imbalances, and correction of coagulopathy. • Treatment consists of urgent surgical exploration with drainage and debridement of nonviable or infected tissue. Wounds require frequent inspection until one is assured that tissues remain viable and infection is no longer spreading.

Keywords

Soft Tissue Infection Necrotizing Fasciitis Hyperbaric Oxygen Therapy Fecal Diversion Clostridial Myonecrosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • Seong K. Lee
  • Jan K. Horn

There are no affiliations available

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