Description d'une série de 51 cas de dermohypodermite bactérienne nécrosante avec ou sans fasciite nécrosante pris en charge à l'Hôpital d'Instruction des Armées Sainte Anne - Toulon entre 2014 et 2017

Abstract : Background: Necrotizing soft tissue infections (NSTI) are severe skin infections and form a me-dico-surgical emergency. Methods: A monocentric retrospective description was made in a French military hospital in Toulon from January 2014 to march 2017. Patients were included based on the 10th International Classification of Diseases code for necrotizing fasciitis and other skin infections associated with a surgical act. Demographic, clinical, biological, micro-biological, treatment and morbimortality characteristics were described. Results: 51 cases were included (31 men) with a mean age of 64 years. 20% of patients were immunodeficient. Erythema (100%), edema (98%) and intense pain (64%) were the most common clinical find-ings. 51% of patients had skin necrosis at the first emergency encounter. 79% of cases were located on a limb. Biological inflammatory findings were common in more than 60% of cases. Pseudomonas aeruginosa was the most common found bacteria. The median time before the first surgical debridement was 11 hours, 8% of cases underwent an amputation and overall mortality rate was 20%. Conclusions: This study describes NSTI’s characteristics treated in a French military hospital and shows a high prevalence of skin necrosis and Pseudomonas aeru-ginosa as a causative bacteria.
Complete list of metadatas

Cited literature [69 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01972486
Contributor : Faculté de Médecine Amu <>
Submitted on : Monday, January 7, 2019 - 5:07:24 PM
Last modification on : Thursday, April 18, 2019 - 11:35:27 PM
Long-term archiving on: Monday, April 8, 2019 - 5:27:34 PM

File

Thèse article POUS(1).pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-01972486, version 1

Collections

Citation

Guillaume Pous. Description d'une série de 51 cas de dermohypodermite bactérienne nécrosante avec ou sans fasciite nécrosante pris en charge à l'Hôpital d'Instruction des Armées Sainte Anne - Toulon entre 2014 et 2017. Sciences du Vivant [q-bio]. 2018. ⟨dumas-01972486⟩

Share

Metrics

Record views

16

Files downloads

61