Division of Plastic Surgery, The University of British Columbia, Vancouver, British Columbia, Canada
Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
BMJ Case Rep. 2021 May 31;14(5):e240848. doi: 10.1136/bcr-2020-240848.
Necrotising fasciitis is an aggressive skin and soft tissue infection requiring urgent surgical treatment, resuscitative efforts and intensive care management. We herein present a case of necrotising fasciitis with nosocomial transmission of causative organisms from patient to healthcare worker. Bacterial transmission from human to human despite personal protective equipment is quite rare, and with limited reports in the literature. The patient was also prepartum, representing to our knowledge, one of only a handful of cases of prepartum necrotising fasciitis. Recommendations to avoid healthcare worker transmission include wearing Association of the Advancement of Medical Instrumentation level 4 gowns during debridement, as well as eye protection and changing scrubs and showering between cases.
坏死性筋膜炎是一种侵袭性皮肤和软组织感染，需要紧急手术治疗、复苏努力和重症监护管理。本文报告了一例坏死性筋膜炎病例，病原体在患者和医务人员之间发生医院内传播。尽管有个人防护设备，但细菌在人与人之间传播非常罕见，文献报道也有限。该患者还处于产前阶段，据我们所知，这是为数不多的产前坏死性筋膜炎病例之一。避免医务人员传播的建议包括在清创时穿高级医疗仪器协会 4 级手术服，以及在处理不同病例时佩戴护目镜、更换手术服和淋浴。
