Interventions for necrotizing soft tissue infections in adults | Canada Hyperbarics
Systematic Review Cochrane Database Syst Rev 2018 Cochrane

Interventions for necrotizing soft tissue infections in adults

Hua C, Bosc R, Sbidian E, De Prost N, Hughes C, Jabre P, et al. — Cochrane Database Syst Rev, 2018

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

This systematic review assessed the effects of various medical and surgical treatments for necrotizing soft tissue infections (NSTIs) in adults within hospital settings.

What They Found

Necrotizing soft tissue infections (NSTIs) are associated with high mortality, estimated at around 23%, and result in disability, sequelae, or limb loss for 15% of patients. The review focused on standard treatments such as antimicrobial therapy, surgical debridement, and intensive care support, but explicitly excluded randomized controlled trials (RCTs) investigating hyperbaric oxygen therapy for NSTI.

What This Means for Canadian Patients

Canadian patients diagnosed with necrotizing soft tissue infections typically receive standard care including intravenous antibiotics and surgical removal of dead tissue. This review underscores the serious outcomes of these infections but does not offer insights into the potential benefits or role of hyperbaric oxygen therapy, as it was not part of their analysis.

Canadian Relevance

No direct Canadian connection identified, as the study was not conducted by Canadian authors or in Canada. Furthermore, the review explicitly excluded hyperbaric oxygen therapy, which is relevant to Canada Hyperbarics' focus.

Study Limitations

A significant limitation is the explicit exclusion of randomized controlled trials investigating hyperbaric oxygen therapy for necrotizing soft tissue infections.

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Study Details

Study Type Systematic Review
Category Infection
Source Pubmed
PubMed ID 29851032
Year Published 2018
Journal Cochrane Database Syst Rev
MeSH Terms Adult; Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; CD28 Antigens; Critical Care; Debridement; Female; Fluoroquinolones; Humans; Immunoglobulins, Intravenous; Male; Middle Aged; Moxifloxacin; Randomized Controlled Trials as Topic; Soft Tissue Infections

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.