International Journal of Medicine and Medical Sciences
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Article Number - 955EA2861794


Vol.8(12), pp. 145-149 , December 2016
DOI: 10.5897/IJMMS2016.1253
ISSN: 2006-9723



Extended Abstract

A five-year review of necrotizing fasciitis at Jimma University Specialized Hospital, Jimma, Ethiopia



Y. Yilma
  • Y. Yilma
  • General Surgeon currently a plastic surgery fellow – Jimma University, Ethiopia.
  • Google Scholar
Y. Fikadu
  • Y. Fikadu
  • General Surgeon – Haromaya Governmental Hospital, Ethiopia.
  • Google Scholar
T. Belachew
  • T. Belachew
  • Department of Population and Family Health, Jimma University, Ethiopia.
  • Google Scholar







 Received: 20 May 2016  Accepted: 17 August 2016  Published: 31 December 2016

Copyright © 2016 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0


Necrotizing bacterial infections are extremely serious, fulminant infections of the soft tissues by virulent bacteria. The annual incidence of NF is estimated at 500–1,000 cases annually, and its prevalence globally has been reported to be 0.40 cases per 100,000 populations. It is seen to have a predilection for men, with a male-to-female ratio of 3:1. The disease affects all age groups. Clinical risk factors for necrotizing soft-tissue infection include diabetes mellitus, malnutrition, obesity, chronic alcoholism, peripheral vascular disease, chronic lymphocytic leukaemia, steroid use, renal failure, cirrhosis and autoimmune deficiency syndrome. The mortality associated with NSTI has been in the range of 16 to 45%. Necrotizing fasciitis is common in Ethiopia but the prevalence and risk factor patterns of the disease in Ethiopia setup have not been well studied. The main objective of this study was to assess pattern and outcome of necrotizing fasciitis in Ethiopia. A retrospective cross-sectional study design was conducted, by reviewing medical records of patients who developed necrotizing fasciitis during the period between January 1, 2011 and December 31, 2015 in Jimma University specialized hospital. Overall, 78 patients were diagnosed with necrotizing fasciitis and mortality rate was 19.23%. The mean age of patients was 36.33 years (range: 37 days to 80 years). Male to female ratio was 2.39:1. Seventy percent were from rural area and 39.7% had predisposing factor. The most common site affected is lower limb (39.7%) and the next common is perineum (34.6%). The median duration of hospital stay was 25.23 days. This five-year review has shown a low incidence of necrotizing fasciitis infection with a high mortality rate. Diabetes mellitus, RVI and malnutrition were identified as the main co-morbidities.

Key words: Necrotizing fasciitis, diabetes mellitus.

Adigun IA, Abdulrahaman LO. (2004). Necrotizing fasciitis in a plastic surgery unit: a report of ten patients from Ilorin. Nig. J. Surg. Res. 6(1-2):21-24.

 

Anaya DA, Bulger EM, Kwon YS, Kaol S, Evans H, Nathens AB (2009). Predicting death in Necrotizing soft tissue infection:- a clinical score. Surg. Infect. 10(6):517-522.
Crossref

 
 

Anaya DA, MC Mahon K, Mathens AB, Sullivan SR, Foy H, Bulger E (2005). Predictors of mortality and limb loss in necrotizing soft tissue infections. Arch. Surg. 140(2):151-157.
Crossref

 
 

Dellinger EP, Anaya DA. (2007) Surgical infection and choice of antibiotics. Sabiston Text book of surgery: the biological basis of modern surgical practice. Townsend CM, Beauchamp RD, Evers BM. 18th ed. 299-327. Philadelphia, WB Saunders.

 
 

Hodgins N, Damkat-Thomas L, Shamsian N, Yew P, Lewis H, Khan K (2015). Analysis of the increasing prevalence of necrotizing fasciitis referrals to a regional plastic surgery unit: A retrospective case series. J. Plast. Reconstr. Aesthet. Surg. 68(3):304-311.
Crossref

 
 

Misiakos EP, Bagias G, Patapis P, Sotiropoubs D, Kanavidis P, Machairas A (2014). Current concepts in the management of Necrotizing Fasciitis. Available at: 

Pubmed.

 
 

Shaikh N, Khawaiter J, Al-Thani H (2012). Necrotizing Fasciitis: A surgical and medical emergency. SS 3: 518-525.

 
 

Skaikh N (2006). Necrotizing fasciitis: A decade of surgical intensive care experience. IJCCM 10(4):225-229.

 
 

Wittamann DW, (2000). Condon RE. Surgical infections. Oxford Textbook of Surgery. Peter JM, Ronald AM. 2nd ed. 77-78. New York, Oxford University press.

 

 


APA Yilma, Y., Fikadu, Y., & Belachew, T. (2016). A five-year review of necrotizing fasciitis at Jimma University Specialized Hospital, Jimma, Ethiopia. International Journal of Medicine and Medical Sciences, 8(12), 145-149.
Chicago Y. Yilma, Y. Fikadu and T. Belachew. "A five-year review of necrotizing fasciitis at Jimma University Specialized Hospital, Jimma, Ethiopia." International Journal of Medicine and Medical Sciences 8, no. 12 (2016): 145-149.
MLA Y. Yilma, Y. Fikadu and T. Belachew. "A five-year review of necrotizing fasciitis at Jimma University Specialized Hospital, Jimma, Ethiopia." International Journal of Medicine and Medical Sciences 8.12 (2016): 145-149.
   
DOI 10.5897/IJMMS2016.1253
URL http://academicjournals.org/journal/IJMMS/article-abstract/955EA2861794

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