[Postoperative necrotizing fasciitis of the anterior abdominal wall]. / Sledoperativen nekrotichen fastsiit na prednata koremna stena.
Khirurgiia (Sofiia)
; 48(3): 46-8, 1995.
Article
em Bg
| MEDLINE
| ID: mdl-8667583
ABSTRACT
Postoperative necrotizing fasciitis of the anterior abdominal wall is a serious and life-endangering complication of an acute progressive synergistic infective process. There is an absolute increase in its incidence rate attributable to a number of situations in modern life. Morphological and clinical studies are carried out on personal case material of 28 patients, followed up over a 3-year period. The presence of aerobic-anaerobic mixed polyinfection, consisting of average 3.75 bacterial species of which 1.43 aerobes and 2.32 anaerobes, is demonstrated microbiologically. Of the latter non-spore-bearing obligate anaerobes predominate among which B fragillis is the most common. As shown by the study, the process is characterized by slow initial course with ensuring rapid spreading by neighbourhood. The process reveals all signs of a mixed aerobic-anaerobic polyinfection, thereby necessitating subordination of both antibiotic therapy and surgical tactics to the latter.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecção da Ferida Cirúrgica
/
Músculos Abdominais
/
Fasciite Necrosante
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Bg
Revista:
Khirurgiia (Sofiia)
Ano de publicação:
1995
Tipo de documento:
Article