NEKROT�ZAN YUMU�AK DOKU ENFEKS�YONU VE MORTAL�TEY� ETK�LEYEN FAKT�RLER

Erdo�an, Okan; Ar�c�, Cumhur; �olak, Taner; Y�ld�z, Sait; ����, Mehmet; Akayd�n, Mustafa

Cilt : 30 Say� : 12 Y�l : 2024

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NEKROT�ZAN YUMU�AK DOKU ENFEKS�YONU VE MORTAL�TEY� ETK�LEYEN FAKT�RLER [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 1999; 5(3): 184-188

NEKROT�ZAN YUMU�AK DOKU ENFEKS�YONU VE MORTAL�TEY� ETK�LEYEN FAKT�RLER

Okan Erdo�an¹, Cumhur Ar�c�¹, Taner �olak¹, Sait Y�ld�z¹, Mehmet ��¹, Mustafa Akayd�n¹
Akdeniz �niversitesi T�p Fak�ltesi Genel Cerrahi Ad

Nekrotizan yumu�ak doku enfeksiyonu (NYDE) tan�s� ile klini�imizde May�s 1988 ile Aral�k 1998 tarihleri aras�nda tedavi edilen 11 hastan�n hastane kay�tlar� retrospektif olarak incelendi. Hastalardan 2'si kad�n 9'u erkekti. Hastal��n en s�k saptand�� yer perianal b�lge (7 hastada, %63), en s�k yanda� hastal�k ise Diabet Mellitus (DM) (6 hasta, %55.5) olarak bulundu. T�m hastalara ortalama 5.1 (3-7) kez cerrahi debridman uyguland�. Mortalite oran� %18.1 (2 hasta) olarak bulundu. Hastalar�n ya� ve cinsiyeti, ba�vuru an�ndaki klinik ve laboratuvar parametreleri, yanda� hastal�klar�n varl��, enfeksiyon lokalizasyonunun ve cerrahi tedavi zamanlamas�n�n morbidite ve mortalite �zerine olan etkisi de�erlendirildi. Enfeksiyon lokalizasyonu ve geni�li�inin, bakteriyemi varl��n�n, hastan�n diabetinin olmas�n�n ve uzam�� inmobilizasyonun morbidite ve mortaliteyi etkiledi�i sonucuna var�ld�.

Anahtar Kelimeler: NEKROT�ZAN FAS��T�S, DEBR�DMAN, FOURN�ER'S GANGREN�

NECROTIZING SOFT TISSUE INFECTIONS AND THE RISK FACTORS FOR MORTALITY

Okan Erdo�an¹, Cumhur Ar�c�¹, Taner �olak¹, Sait Y�ld�z¹, Mehmet ��¹, Mustafa Akayd�n¹
Akdeniz �niversitesi T�p Fak�ltesi Genel Cerrahi Ad

A retrospective review of the medical records of 11 patients between the years May 1988-June 1998 with the diagnosis of necrotizing fasciitis was performed. There were 2 females, and 9 males. Diabetes mellitus was the most common concomitant disease (6 patients, 55.5%), and the most common sites of origin of infection were the perineum (7 patients, 63 %). The mean number of surgical debridements were 5.1 (3-7). The mortality rate was 18.1% (2 patients). Age and sex of the patients, the presence of concomitant diseases, localization of the infection, timing of the surgery on the morbidity and mortality was evaluated. We conclude that extent and localization of the infection, presence of diabetes mellitus, presence of bacteriemia and prolonged immobilization influence the morbidity and mortality.

Keywords: NECROTIZING FASCIITIS, DEBRIDEMENT, FOURNIER'S GANGRENE

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