Indian Journal of Surgery

, Volume 77, Supplement 2, pp 345–350

Necrotizing Fasciitis: A Study of 48 Cases

Original Article

DOI: 10.1007/s12262-013-0835-2

Cite this article as:
Singh, G., Bharpoda, P. & Reddy, R. Indian J Surg (2015) 77(Suppl 2): 345. doi:10.1007/s12262-013-0835-2


Necrotizing fasciitis represents a group of highly lethal infections characterized by rapidly progressing inflammation and necrosis. The aim of the study was to analyze the clinical profile, microbial flora, and predisposing risk factors in patients with necrotizing fasciitis. Lastly, we aimed to formulate a protocol for management of necrotizing fasciitis. Forty-eight cases of necrotizing fasciitis patients who reported to our hospital between April 2007 and September 2009 were included in the study. The commonest predisposing factors were age greater than 50 years (58 % cases) and diabetes mellitus (52 % cases). The commonest site involved was extremity (70.8 %). Majority of infections were polymicrobial (87.5 %). Repeated aggressive debridement was the commonest surgical procedure performed. Early and aggressive surgical debridement, often in multiple sittings, supplemented by appropriate antibiotics and supportive therapy, forms the key to a successful outcome in necrotizing fasciitis.


Necrotizing fasciitisSurgical debridements

Copyright information

© Association of Surgeons of India 2013

Authors and Affiliations

  • Gurjit Singh
    • 1
  • Pragnesh Bharpoda
    • 1
  • Raghuveer Reddy
    • 1
  1. 1.Department of SurgeryPadmashree Dr. D.Y. Patil Hospital and Medical CollegePimpri, PuneIndia