Necrotizing Fasciitis is a bacterial infection of the skin, commonly occurring when bacteria pass into the body through an open cut, scrape, burn wound or other puncture wound.

Presentation

Patients with Necrotizing Fasciitis may complain of swelling and muscle soreness at the site of the infectious process. In addition, the skin is generally warm to the touch and red or purple. Consequently, it may cause blisters, ulcers or blackening of the skin. Necrotizing Fasciitis is a medical emergency requiring urgent treatment as the bacteria quickly spreads through connective tissue and can lead to amputations or death within a narrow window of time. Aggressive surgical debridement, coupled with systemic antimicrobials and hyperbaric oxygen, is often required to prevent the infection from spreading.

Prevention

In recent years, wound care has shifted to focus on the healing benefits of wounds in moist conditions. This method has been in place for decades at burn centers. Additionally, One of the essential tools in a moist healing environment is effective dressings. Bacteria can pass through 64 layers of moist gauze. As a result, the ideal dressing should remove excess seepage, allow high humidity and gaseous exchange, protect against secondary infection, and cause no trauma upon removal. One of the top dressings used today is silver-infused. Moreover, these dressings are effective against a broad range of germs.

Treatment

Temporary and permanent skin substitutes have become a standard part of wound treatment protocols. These products—often constructed of intact human skin, animal skin, or a combination of biological and manufactured materials—are designed to advance wound healing, either using inherent healing properties or added biologically active substances. Additionally, this process involves consulting with a plastic surgeon to ensure quality outcomes and, if necessary, establishing a clear path to successful long-term reconstruction.