Stony Brook University, Stony Brook, NY, US.
Division of Gynecologic Oncology, Stony Brook Medicine, Stony Brook, NY, US.
J Wound Care. 2022 Jul 1;31(Sup7):S20-S29. doi: 10.12968/jowc.2022.31.Sup7.S20.
Vulvar necrotising fasciitis (VNF) is a severe soft tissue infection associated with substantial morbidity and high mortality. At Stony Brook Medicine, US, patients with known or suspected VNF are treated by a structured multidisciplinary team consisting of members of the Departments of Emergency Medicine and Medicine, the Divisions of Gynecologic Oncology, Burn and Surgical Intensive Care Units, Infectious Disease and Plastic Surgery, and the nursing, nutrition, physical/occupational therapy and social work services.
This is a retrospective review of patients presenting to Stony Brook University Hospital with VNF over an 18-month period.
A total of 10 patients were treated for VNF during the study period. All patients were treated by the structured multidisciplinary team, including extensive initial surgical debridement by the gynaecologic oncologists. All patients survived to discharge.
The results of this review demonstrated that prompt diagnosis, rapid implementation of appropriate antibiotic coverage, surgical debridement of necrotic tissue, and comprehensive care delivered by a structured multidisciplinary team contributed to positive clinical outcomes and decreased the risk of death from VNF.
外阴坏死性筋膜炎（VNF）是一种严重的软组织感染，发病率高，死亡率高。在美国石溪大学医学中心，由急诊医学部和内科、妇科肿瘤学、烧伤和外科重症监护、传染病和整形外科学科成员组成的结构化多学科团队治疗已知或疑似 VNF 的患者，以及护理、营养、物理/职业治疗和社会工作服务。
这是对在 18 个月期间到石溪大学医院就诊的 VNF 患者进行的回顾性研究。
在研究期间，共有 10 名患者接受了 VNF 的治疗。所有患者均由结构化多学科团队治疗，包括妇科肿瘤学家进行广泛的初始清创术。所有患者均存活出院。
本回顾性研究结果表明，及时诊断、迅速实施适当的抗生素覆盖、坏死组织的清创术以及结构化多学科团队提供的综合护理有助于取得积极的临床结果并降低 VNF 死亡风险。
