Using Clinical Pathways to Aid in the Diagnosis of Necrotizing Soft Tissue Infections

2.50
Hdl Handle:
http://hdl.handle.net/10755/151985
Type:
Presentation
Title:
Using Clinical Pathways to Aid in the Diagnosis of Necrotizing Soft Tissue Infections
Abstract:
Using Clinical Pathways to Aid in the Diagnosis of Necrotizing Soft Tissue Infections
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Schuster, Lynn, MSN, ACNP
P.I. Institution Name:Arizona State University
Title:DNP Scholar, ACNP
Co-Authors:Diane Nunez DNP, RN, ANP-BC, Clinical Associate Professor, Arizona State University College of Nursing Tempe, Arizona
[22nd International Nursing Research Congress - Evidence-based Practice Presentation] Necrotizing soft tissue infections (NSTI) are rare, rapidly spreading infections that can occur in any of the soft tissue compartments, such as the dermis, subcutaneous tissue, superficial fascia, deep fascia, or muscle. The initial insult is often a break in the skin barrier that is then invaded by bacteria. The bacteria release toxins and enzymes causing necrosis and liquefaction of the tissues, often leading to sepsis and multi organ system failure. If these patients are not treated early and aggressively with surgical debridement and broad-spectrum antibiotics, the mortality can reach beyond 40%. Unfortunately these infections present similarly to other types of skin and soft tissue infections (SSTI), such as cellulitis and abscesses, making diagnosis difficult. Numerous studies have found an association between objective laboratory values and diagnosing NSTI. A clinical practice guideline will be implemented in the emergency department setting to guide the workup and diagnosis of patients presenting with a SSTI. By implementing a practice guideline that can be used to assist with the triage of patients to rule out necrotizing soft tissue infections, it is anticipated that the time from presentation to diagnosis and treatment will decrease.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing Clinical Pathways to Aid in the Diagnosis of Necrotizing Soft Tissue Infectionsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151985-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using Clinical Pathways to Aid in the Diagnosis of Necrotizing Soft Tissue Infections</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schuster, Lynn, MSN, ACNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Arizona State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">DNP Scholar, ACNP</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lynnschuster2000@yahoo.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Diane Nunez DNP, RN, ANP-BC, Clinical Associate Professor, Arizona State University College of Nursing Tempe, Arizona</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Evidence-based Practice Presentation] Necrotizing soft tissue infections (NSTI) are rare, rapidly spreading infections that can occur in any of the soft tissue compartments, such as the dermis, subcutaneous tissue, superficial fascia, deep fascia, or muscle. The initial insult is often a break in the skin barrier that is then invaded by bacteria. The bacteria release toxins and enzymes causing necrosis and liquefaction of the tissues, often leading to sepsis and multi organ system failure. If these patients are not treated early and aggressively with surgical debridement and broad-spectrum antibiotics, the mortality can reach beyond 40%. Unfortunately these infections present similarly to other types of skin and soft tissue infections (SSTI), such as cellulitis and abscesses, making diagnosis difficult. Numerous studies have found an association between objective laboratory values and diagnosing NSTI. A clinical practice guideline will be implemented in the emergency department setting to guide the workup and diagnosis of patients presenting with a SSTI. By implementing a practice guideline that can be used to assist with the triage of patients to rule out necrotizing soft tissue infections, it is anticipated that the time from presentation to diagnosis and treatment will decrease.</td></tr></table>en_GB
dc.date.available2011-10-26T11:20:15Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:20:15Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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