What are the Alternatives to the LRINEC Score in Identifying Necrotizing Soft Tissue Infections in the Emergency Department?

Authors : Ayça ÇALBAY, Atıf BAYRAMOĞLU, Erdem KARADENİZ

Pages : 41-46

Doi:10.55994/ejcc.1135938

View : 43 | Download : 11

Publication Date : 2022-08-31

Article Type : Research Paper

Abstract :Background: The emergency department insert ignore into journalissuearticles values(ED); is an dynamically high-risk setting. Our aim is to determine the blood parameters associated with necrotizing soft tissue infections insert ignore into journalissuearticles values(NSTI); to strengthen the LRINEC score. Materials and methods: We analyzed 109 patients who were diagnosed with necrotizing soft tissue infection in the Urology, Dermatology, Plastic surgery and General Surgery clinics of Atatürk University between 2013 and 2016. In the same period, we matched 624 patients diagnosed with cellulitis as a control group. Results: Of four defined clinic`s records to Atatürk University Hospital in 2013 to 2016, 109 matched and 624 matched control records were abstracted. Diagnoses associated with the NSTIs were: gangrene insert ignore into journalissuearticles values(n=47);, gas gangrene insert ignore into journalissuearticles values(n=7);, Fournier`s gangrene insert ignore into journalissuearticles values(n=44); and necrotizing fasciitis insert ignore into journalissuearticles values(n=11);. In patients with Necrotizing Soft Tissue Infection, BUN insert ignore into journalissuearticles values(p=0,00);, K insert ignore into journalissuearticles values(0,011);, Neutrofil insert ignore into journalissuearticles values(p=0,013);, Lenfosit insert ignore into journalissuearticles values(p=0,003);, Htc insert ignore into journalissuearticles values(p=0,00);, RDW insert ignore into journalissuearticles values(p=0,002);, Plt insert ignore into journalissuearticles values(p=0,042);, AST insert ignore into journalissuearticles values(p=0,00);, ALT insert ignore into journalissuearticles values(p=0,00); and INR insert ignore into journalissuearticles values(p=0,003); values were found to be statistically significant in making the diagnosis. Conclusion: BUN, K, Neutrofil, Lenfosit, Htc, RDW, Plt, AST, ALT and INR values measured from blood tests of patients diagnosed with NSTI can be used in distinctive diagnosis of Soft Tissue Infection insert ignore into journalissuearticles values(STI);. Increased awareness of these values may improve Emergency Department insert ignore into journalissuearticles values(ED); decision making and prevent miss diagnose.
Keywords : Cellulitis, Gangrene, Gas gangrene, Laboratory Risk Indicator for Necrotizing Fasciitis LRINEC, Necrotising fasciitis, Necrotising soft tissue infection NSTI,

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