Predisopsing factors; managment and outcomes of necrotizing fascitis Among patients who admitted to surgical ward at al-Thawra hospital; January 2020 to January 2021

Abstract EN

Background: Necrotizing fasciitis is a serious infection of skin and soft tissues that rapidly progresses along the deep fascia.

It’s a fatal infection with high mortality if treatment delayed.

Early diagnosis, surgical debridement and broad-spectrum antibiotic therapy are the optimal treatments to reduce the mortality.

Objective: The aims were to identify risk factors for Necrotizing fasciitis and to describe the outcome of management.

Methods: A prospective descriptive study was conduted at AL-THAWRA HOSIPTAL located in Sana’a, Yemen.

All medical records of patients with confirmed NF who admitted to surgical department between January 2020 and January 2021 were reviewed.

Results: The study enrolled 54 patients diagnosed with Necrotizing fasciitis.

Male patients were 43 patients (79.6%) and female patients were 11 patients (20.3%).

The age rang was 9 – 75 years old and the peak age incidence was at 46–60 years (33.3%).

The incidence of NF increases with aging, male gander (79.6%), in comorbid patients (64.9%) especially DM (37%).

The etiologies of NF were trauma in (16.6%) and perianal abscess in (14.8%), but (27.7%) of NF patients hadn’t specific cause.

The defected wound was treated by skin graft in (32.5%) and primary closure in (27.5%).

The mortality rate was (27.7% n=15); (60%) of them died on first 5 days.

Septic shock was the reason of death in (73.2%).

The higher mortality rate was seen at male gander (66.6%), age group > 60 years (46.6%), in patients who presented in shocked state (73.3%) and in comorbid patients (73.3%).

Conclusion: Necrotizing fasciitis represents a life threatening condition with challenges in diagnosis.

Incidence and mortality of NF are common in male gander, an elderly patient, or in who suffers of comorbidities; especially DM.