Necrotizing fasciitis primary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
Effective measures for the primary prevention of necrotizing fasciitis include prevention of trauma/breaks in skin integrity, treatment of underlying [[infections]], hand washing, proper [[wound care]] and proper management of underlying co-morbidities. | |||
==Primary Prevention== | ==Primary Prevention== | ||
Effective measures for the primary prevention of necrotizing fasciitis include:<ref name=Prophylaxis> CDC http://www.cdc.gov/features/necrotizingfasciitis/ (2016) Accessed on September 12, 2016 </ref><ref name="pmid17683625">{{cite journal| author=Taviloglu K, Yanar H| title=Necrotizing fasciitis: strategies for diagnosis and management. | journal=World J Emerg Surg | year= 2007 | volume= 2 | issue= | pages= 19 | pmid=17683625 | doi=10.1186/1749-7922-2-19 | pmc=1988793 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17683625 }} </ref> | Effective measures for the primary prevention of necrotizing fasciitis include:<ref name=Prophylaxis> CDC http://www.cdc.gov/features/necrotizingfasciitis/ (2016) Accessed on September 12, 2016 </ref><ref name="pmid17683625">{{cite journal| author=Taviloglu K, Yanar H| title=Necrotizing fasciitis: strategies for diagnosis and management. | journal=World J Emerg Surg | year= 2007 | volume= 2 | issue= | pages= 19 | pmid=17683625 | doi=10.1186/1749-7922-2-19 | pmc=1988793 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17683625 }} </ref> | ||
*Prevention of trauma/breaks in skin integrity that act as portal of entry | *Prevention of trauma/breaks in skin integrity that act as portal of entry | ||
*Treatment of cellulitis to prevent extension into the subcutaneous tissue | *Treatment of [[cellulitis]] to prevent extension into the [[subcutaneous tissue]] | ||
*Immunization against varicella zoster virus (in adults and children) | *Immunization against [[varicella zoster virus]] (in adults and children) | ||
*Hand washing with soap and water or use of alcohol based hand rub if washing is not possible especially after coughing, sneezing and before preparing food or eating to prevent the spread of | *Hand washing with soap and water or use of alcohol-based hand rub if washing is not possible especially after coughing, sneezing and before preparing food or eating to prevent the spread of [[Streptococcus pyogenes|group A streptococcal (GAS)]] infection | ||
*Wounds should be cleaned and monitored for signs of infection | *Wounds should be cleaned and monitored for signs of infection | ||
*Patients with strep throat should stay home until 24 hours after their last antibiotic dose | *Patients with strep throat should stay home until 24 hours after their last antibiotic dose | ||
*Avoid spending time in whirlpools, hot tubs, swimming pools, and natural bodies of water (like lakes, rivers, oceans) until infections are healed | *Avoid spending time in whirlpools, hot tubs, swimming pools, and natural bodies of water (like lakes, rivers, oceans) until infections are healed | ||
*Do not delay first aid of wounds like blisters, scrapes, or any break in the skin | *Do not delay first aid of wounds like [[blister|blisters]], scrapes, or any break in the skin | ||
*All contacts should be | *All contacts should be counselled about the signs and symptoms of infection and advised to go immediately to an emergency department for prompt treatment | ||
*Patients with underlying co-morbidities should watch carefully for any signs of infection | *Patients with underlying co-morbidities should watch carefully for any signs of infection | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category: | [[Category:Surgery]] | ||
[[Category:Orthopedics]] | |||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Effective measures for the primary prevention of necrotizing fasciitis include prevention of trauma/breaks in skin integrity, treatment of underlying infections, hand washing, proper wound care and proper management of underlying co-morbidities.
Primary Prevention
Effective measures for the primary prevention of necrotizing fasciitis include:[1][2]
- Prevention of trauma/breaks in skin integrity that act as portal of entry
- Treatment of cellulitis to prevent extension into the subcutaneous tissue
- Immunization against varicella zoster virus (in adults and children)
- Hand washing with soap and water or use of alcohol-based hand rub if washing is not possible especially after coughing, sneezing and before preparing food or eating to prevent the spread of group A streptococcal (GAS) infection
- Wounds should be cleaned and monitored for signs of infection
- Patients with strep throat should stay home until 24 hours after their last antibiotic dose
- Avoid spending time in whirlpools, hot tubs, swimming pools, and natural bodies of water (like lakes, rivers, oceans) until infections are healed
- Do not delay first aid of wounds like blisters, scrapes, or any break in the skin
- All contacts should be counselled about the signs and symptoms of infection and advised to go immediately to an emergency department for prompt treatment
- Patients with underlying co-morbidities should watch carefully for any signs of infection
References
- ↑ CDC http://www.cdc.gov/features/necrotizingfasciitis/ (2016) Accessed on September 12, 2016
- ↑ Taviloglu K, Yanar H (2007). "Necrotizing fasciitis: strategies for diagnosis and management". World J Emerg Surg. 2: 19. doi:10.1186/1749-7922-2-19. PMC 1988793. PMID 17683625.