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Necrotizing Soft Tissue Infections

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Geriatric Trauma and Critical Care

Abstract

Necrotizing soft tissue infection (NSTI) is a rare disease primarily affecting middle- and older-aged individuals. No predisposing risk factor is identified in a high percentage of patients. Mortality rates have not improved significantly over the past century. Amputation rates are high and multiple debridements are the rule. Wide surgical debridement is the only effective therapy for NSTI and that time is of the utmost essence. Mortality remains between 10 and 30 % and long-term disability is common.

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  1. Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, 165 Cambridge St., Suite #810, Boston, MA, 02114, USA

    D. Dante Yeh MD & George Velmahos MD, PhD

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  1. D. Dante Yeh MD
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  2. George Velmahos MD, PhD
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Correspondence to D. Dante Yeh MD .

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  1. Department of Surgery, Stritch School of Medicine Loyola University of Chicago Edward Hines, Jr. Veterans Administration Medical Center, Maywood, Illinois, USA

    Fred A. Luchette

  2. Professor of Surgery, Hofstra School of Medicine Medical Director for Surgical and Perioperative Services, Southside Hospital/Northwell Health, Bay Shore, New York, USA

    Jay A. Yelon

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Yeh, D.D., Velmahos, G. (2017). Necrotizing Soft Tissue Infections. In: Luchette, F., Yelon, J. (eds) Geriatric Trauma and Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-48687-1_19

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