https://padlet.com/dsutherlin231/v15pnhrsknrvi2r Information on Necrotizing Fasciitis en-us 2022-03-07 15:43:53 UTC 2022-03-08 22:59:17 UTC hello@padlet.com dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082005310 2022-03-07 16:11:45 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082005310 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082045418 Group A Streptococcus is thought to be the most common cause of necrotizing fasciitis. Group A strep most often enters the body through breaks in the skin like cuts, scrapes, burns, bug bites, and surgical incisions or wounds.]]> 2022-03-07 16:28:48 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082045418 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082057822 Necrotizing means dying tissue and Fasciitis means inflammation of the fascia tissue under the skin. Fascia surrounds the muscles, nerves, blood vessels, and fat. An infection eats away at live tissue and destroys the body. ]]> 2022-03-07 16:34:31 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082057822 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082072570 Early signs of necrotizing fasciitis:
1. red swollen area of skin that spreads quickly
2. severe pain in and around the affected area
3. fever

Later symptoms:
1. ulcers, blisters, black spots on skin
2. puss or oozing from the skin
3. fatigue, nausea, dizziness]]> 2022-03-07 16:41:12 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082072570 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082082480 Necrotizing fasciitis can be similar to other infections in the earlier stages, therefore tests are requires. A tissue sample (biopsy) is required as well as bloodwork for signs of infection. There may also be imaging of the area (MRI, CT, ultrasound).]]> 2022-03-07 16:46:02 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082082480 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082285228 This article includes information on underlying illnesses in necrotizing fasciitis cases as well as other clinical features. This figure shows that 71% of adult cases in this study occurred in patients with at least 1 chronic underlying condition. Half of the cases in the children (4 of 8) occurred as a complication of varicella. This shows the impact an underlying condition can have on contracting necrotizing fasciitis. Anyone susceptible to soft tissue injuries or wounds may be more likely to contract necrotizing fasciitis.

Kaul, R., McGeer, A., Low, D. E., Green, K., Schwartz, B., & Simor, A. E. (1997). Population-based surveillance for Group A streptococcal necrotizing fasciitis: Clinical features, prognostic indicators, and microbiologic analysis of seventy-seven cases. The American Journal of Medicine, 103(1), 18–24. https://doi.org/10.1016/s0002-9343(97)00160-5 ]]> 2022-03-07 18:26:11 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082285228 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082302084 Prompt treatment is key!

Early surgery to remove dead tissue and IV antibiotics to fight the infection is usually the first line of defense. Some patients require multiple surgeries. To heal the wounds created in surgery from dead tissue removal patients require skilled wound care. This can involve special dressings, debridement, and negative pressure wound therapy.]]> 2022-03-07 18:34:46 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082302084 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082319454 Clean all cuts, abrasions, and wounds with soap and water and cover with a dry sterile bandage. See a physician for more serious injuries or if you are unsure of how to care for a wound. Avoid hot tubs, pools, and natural bodies of water while a wound is healing. Take care of underlying medical conditions to the best of your ability to avoid wounds and injuries. ]]> 2022-03-07 18:43:42 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082319454 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082337520 Once a patient has had surgery a surgeon may place (or have a wound Physical Therapist place) something called a Wound VAC. A wound VAC can only be used on a patient once all the dead tissue is removed and health tissue is exposed to regrow. A special foam is placed on the wound bed and covered with a clear adhesive drape. Then a hose is attached and a constant pressure vacuum seals the wound. This pulls all of the excess fluid from the wound and promoted tissue growth and healing. The settings on a Wound VAC can be changed depending on the patient's needs. This dressings are usually change every other day. This therapy has been proven to cut healing time nearly in half!
 ]]> 2022-03-07 18:52:58 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082337520 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082340642 The reason I chose to research necrotizing fasciitis is because I have seen it before during my time working at a hospital. I assist wound physical therapists with care sometimes, which includes placing wound VACs and other dressings. Majority of these patients had underlying conditions which prompted my interest in the article I chose for this Padlet.

The main difference between pressure injuries/wound compared to necrotizing fasciitis that I have seen are the size of the wound and the amount of time it takes to heal. If an infection is not found early enough a large amount of tissue must be cut out. Sometimes amputation may be necessary to save the patient's life. The wounds also differ by color initially. If a surgeon cannot remove all of the infected tissue the first time, the patient returns to the OR for surgery multiple times. Sometimes it is impossible to remove all of the dead tissue during the first surgery. After successful surgery the wound appears much more healthy.

After researching the cause of this infection and how it progresses I may be able to better assist the physical therapists with wound care.]]> 2022-03-07 18:54:43 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082340642 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082350814
https://facdir.deptmedicine.utoronto.ca/Detail.aspx?id=1274]]> 2022-03-07 19:00:10 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082350814 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082359114 2022-03-07 19:04:47 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082359114 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082372129 https://spauldingrehab.org/about/patient-stories/monica

A story about a mother who contracted necrotizing fasciitis and required nearly 35 surgeries. From contracting the illness to recovering and heading home took four months total.]]> 2022-03-07 19:11:50 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082372129 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082380847 https://spauldingrehab.org/about/patient-stories/monica

https://www.cdc.gov/groupastrep/diseases-public/necrotizing-fasciitis.html

https://www.sciencedirect.com/science/article/pii/S0002934397001605?via%3Dihub

https://facdir.deptmedicine.utoronto.ca/Detail.aspx?id=1274

https://youtu.be/bh--RlpuJIE

]]> 2022-03-07 19:16:24 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082380847 dsutherlin231 https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082392915 Up to 1 of 3 people who get necrotizing fasciitis die from the infection. Many people have life long complications from the infection. Sepsis, shock, and organ failure can occur as a result from necrotizing fasciitis, which is why prognosis is unfavorable. ]]> 2022-03-07 19:22:53 UTC https://padlet.com/dsutherlin231/v15pnhrsknrvi2r/wish/2082392915