Necrotizing fasciitis primary prevention: Difference between revisions
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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 [[blister|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 counselled about the signs and symptoms of infection and advised to go immediately to an emergency department for prompt treatment | *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:Surgery]] | |||
[[Category:Orthopedics]] |
Latest revision as of 22:56, 29 July 2020
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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.