ABSTRACT

Background: Human beings are generally well build, well-nourished and well cared, in general terms they are otherwise healthy. Metabolic diseases are more common during maturity of age. Diabetes is one of the most common metabolic disease prevailing and is recently in the raising side of the curve. Though Diabetes is a metabolic disease, it’s a state of immune compromise. Generally Necrotising Fasciitis is most common in diabetic patients. It is also called as flesh eating disease. For a non-diabetic otherwise healthy individual, getting Necrotising Fasciitis is quite rare. Materials and Methods: The key aim of this study is to identify the most common and prevalent causes for organisms responsible for NecrotisingFasciitis in Non-Diabetic patients. In this study, 50 patients presenting with painful swelling in the leg with / without blisters or ulcers to the Department of General Surgery, SBMCH were selected, segregated, Prepared and treated, following which serial wound swabs were taken from the wound site and studied. Results: The most common organism grown is gram negative rods and gram positive cocci. Streptococcus pyogenes followed by proteus mirabilis were the most common organism. Methicillin sensitive Staphylococcus aureus were also grown in common. Piperacillin tazobactam and 3rd generation cephalosporins were the sensitive antibiotics and are also the choice of empirical antibiotics. Conclusion: It has been concluded that poor wound care, local application of native medicine and low socioeconomic state can be the cause of Necrotising Fasciitis but under strict asepsis during perioperative period along with rational use of antibiotics to prevent the development of resistance and proper wound care, this can be treated Keywords: Necrotising Fasciitis, antibiotics sensitivity, wound care
Publication date: 01/11/2021

https://ijbpas.com/pdf/2021/November/MS_IJBPAS_2021_57444.pdf

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https://doi.org/10.31032/IJBPAS/2021/10.11.57444