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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Trauma+Surg+Acute+Care+Open 2018 ; 3 (1): ä Nephropedia Template TP
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Can necrotizing soft tissue infection be reliably diagnosed in the emergency department? #MMPMID29766136
Henry SM; Davis KA; Morrison JJ; Scalea TM
Trauma Surg Acute Care Open 2018[]; 3 (1): ä PMID29766136show ga
Necrotizing soft tissue infections (NSTIs) are associated with a high mortality and require prompt recognition and treatment, consisting of aggressive surgical debridement and critical care support. Diagnosis is a key step, which is generally made in the operating room (OR), but the decision to debride requires guidance. This is frequently made on clinical grounds, but NSTI can be occult in presentation and several other infective processes can mimic NSTI. It is unknown whether the various scoring systems described in the literature can enable clinicians to reliably diagnose NSTI in the emergency department, rather than the OR. The topic was debated at the 36thAnnual Point/Counterpoint Acute Care Surgery Conference and the following article summarizes the discussants points of view along with a summary of the evidence.Level of evidence: Level III.