Necrotizing fasciitis diagnostic criteria: Difference between revisions
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==Diagnostic criteria== | ==Diagnostic criteria== | ||
===Laboratory risk indicator for necrotizing fasciitis (LRINEC) scoring system=== | |||
*LRINEC is a diagnostic scoring system used to distinguish necrotizing fasciitis from other soft tissue infections.<ref name="pmid15241098">{{cite journal| author=Wong CH, Khin LW, Heng KS, Tan KC, Low CO| title=The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. | journal=Crit Care Med | year= 2004 | volume= 32 | issue= 7 | pages= 1535-41 | pmid=15241098 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15241098 }} </ref> | |||
*It was first established by Wong et al in 2004. | |||
*Risk assessment of necrotizing faciitis using LRINEC score: | |||
:*Low risk: ≤5 | |||
:*Intermediate risk: 6-7 | |||
:*High risk: ≥8 | |||
{| class="wikitable" style="text-align: center | |||
|- | |||
! Variable | |||
! Score | |||
|- | |||
| [[C reactive protein]] (mg/dL) | |||
<150 <br> | |||
>150 | |||
| | |||
0 <br> | |||
4 | |||
|- | |||
| Total [[white blood cell]] count (/mm3) | |||
<15 <br> | |||
15-25 <br> | |||
>25 | |||
| <br> | |||
0 <br> | |||
1 <br> | |||
2 | |||
|- | |||
| [[Hemoglobin]] (g/dL) | |||
<13.5 <br> | |||
11-13.5 <br> | |||
<11 | |||
| <br> | |||
0 <br> | |||
1 <br> | |||
2 <br> | |||
|- | |||
| [[Sodium]] (mmol/L) | |||
≥135 <br> | |||
<135 | |||
| <br> | |||
0 <br> | |||
2 | |||
|- | |||
| [[Creatinine]] (μmol/L) | |||
<141 <br> | |||
>141 | |||
| <br> | |||
0 <br> | |||
2 | |||
|- | |||
| [[Glucose]] (mmol/L) | |||
<10 <br> | |||
>10 | |||
| <br> | |||
0 <br> | |||
1 | |||
|- | |||
|} | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Surgery]] | |||
[[Category:Dermatology]] | |||
[[Category:Infectious disease]] |
Revision as of 18:48, 18 September 2016
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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
Diagnostic criteria
Laboratory risk indicator for necrotizing fasciitis (LRINEC) scoring system
- LRINEC is a diagnostic scoring system used to distinguish necrotizing fasciitis from other soft tissue infections.[1]
- It was first established by Wong et al in 2004.
- Risk assessment of necrotizing faciitis using LRINEC score:
- Low risk: ≤5
- Intermediate risk: 6-7
- High risk: ≥8
Variable | Score |
---|---|
C reactive protein (mg/dL)
<150 |
0 |
Total white blood cell count (/mm3)
<15 |
0 |
Hemoglobin (g/dL)
<13.5 |
0 |
Sodium (mmol/L)
≥135 |
0 |
Creatinine (μmol/L)
<141 |
0 |
Glucose (mmol/L)
<10 |
0 |
References
- ↑ Wong CH, Khin LW, Heng KS, Tan KC, Low CO (2004). "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 32 (7): 1535–41. PMID 15241098.