Prasanth, R (2023) A Study on Utility of Ultrasonography and Laboratory Risk Indicator for Necrotising Fasciitis (LRINEC) Scoring System in Necrotising Fasciitis. Masters thesis, Madras Medical College, Chennai.
Full text not available from this repository.Abstract
AIM: To follow up all the cases of soft tissue infections with ultrasonography of the local part and laboratory scoring system. Thereby checking the efficacy of ultrasonography in soft tissue infections. OBJECTIVE: 1. To diagnose the progression of soft tissue infections to necrotising fasciitis at the earliest and thereby reducing morbidity and mortality. 2. To follow up cases of soft tissue infections using laboratory scoring system LRINEC. 3. To follow up cases of soft tissue infections using ultrasonography of the local part. MATERIALS AND METHODS: ➢ It is a prospective observational study. Study period 9 months. ➢ The study participants will be enrolled as per inclusion and exclusion criteria. ➢ Informed consent will be taken. ➢ Patients presenting to our hospital with features of soft tissue infections will be followed up with regular blood investigation s and ultrasonography of the affected part. The study aims at assessing the LRINEC scoring and ultrasonographic imaging finding in the cases of soft tissue infections which progresses to necrotising fasciitis and thereby assessing their utility in early diagnosis, reducing morbidity and mortality in cases of necrotising fasciitis. ➢ Ultrasonography aims at assessing the following aspects Subcutaneous thickening, Fascial fluid, Air. INCLUSION CRITERIA: 1. Patients with age more than 20 years of age and less than 60 years of age. 2. Patients with soft tissue infections with features of cellulitis. 3. Patients who are not on course of antibiotic either systemic or topical at the time of presentation. 4. Patients who are consenting for the study EXCLUSION CRITERIA: 1. Patients with age less than 20 and more than 60 years. 2. Patients who have undergone surgical debridement for the present episode of soft tissue infection. 3. Patients who are on systemic or topical antibiotic theraphy before the study. 4. Patients with furuncles, burns and other soft tissue infections without the evidence of cellulitis. 5. Patients who have already progressed to necrotising fasciitis at the time of presentation. CONCLUSION: This study shows that: 1. There exists a statistically significant correlation between Utility of Ultrasonography in the form of a STAFF exam and LRINEC scoring system in early diagnosis of the patients with soft tissue infections with clinical suspicion of Necrotizing fascitis.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 220120100515 |
| Uncontrolled Keywords: | Utility, Ultrasonography, Laboratory Risk Indicator, Necrotising Fasciitis (LRINEC) Scoring System. |
| Subjects: | MEDICAL > General Surgery > MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 15 Jan 2024 07:03 |
| Last Modified: | 19 Jan 2024 17:02 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/21305 |
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