DOI: http://dx.doi.org/10.18203/2349-2902.isj20192282

LRINEC: an economical diagnostic tool for prognosis in patients with necrotizing soft tissue infections in a tertiary care centre

Ballapalli Hari Prasad, Minchala Chengalrayan Narendra, Shaik Nurul Hameed

Abstract


Background: The objective of the study was to evaluate the efficacy of LRINEC score in the management and prognosis of patients with soft tissue necrotizing infections.

Methods: This is a prospective study conducted in Sri Padmavathi Medical College (W), Tirupati, Andhra Pradesh, India from May 2018 to January 2019. It included 50 patients who were diagnosed with severe soft tissue infection of lower limbs who needed surgical intervention. The effectiveness of LRINEC score was determined from the outcome.

Results: Age group varied from 40 to 60 years. Out of 50 patients 40 were men and 10 were women. The male to female ratio was 4:1. All the patients were investigated at the time of admission in the emergency department using the LRINEC score. Hospital stay varied from 15-45 days.

Conclusions: This study concludes that LRINEC score is an economical and accurate investigating tool in necrotizing soft tissue infections to determine the prognosis and outcomes.

 


Keywords


LRINEC score, Necrotizing soft tissue infections, Necrotizing fasciitis

Full Text:

PDF

References


Ahn C. Necrotizing fasciitis: reviewing the causes and treatment strategies. Advances in skin and wound care. 2007;20(5):288-93.

Trent JT, Kirsner RS. Diagnosing necrotizing fasciitis. Advances Skin Wound Care. 2002;15(3):135-8.

Eke N. Fournier’s gangrene: a review of 1726 cases. British J Surg. 2000;87(6):718–28.

Meleney F. Hemolytic streptococcus gangrene. Arch Surg. 1924;9:317–64.

Wilson B. Necrotizing fasciitis. Am Surg. 1952;18(4):416–31.

Morgan MS. Diagnosis and management of necrotising fasciitis, a multiparametric approach. J Hosp Infect. 2010;75:249-57.

Wong CH, Chang HC, Pasupathy S, Khin LW, Tan JL, Low CO. Necrotising Fasciitis: Clinical Presentation, Microbiology And Determinants Of Mortality. J Bone Joint Surg Am. 2003;85:1454-60.

Wong CH, Khin LW, Heng KS, Tan KC, Low CO. The LRINEC (laboratory risk indicator for necrotizing fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med. 2004; 2(7):1535–41.

Green RJ, Dafoe DC, Raffin TA. Necrotizing fasciitis. Chest. 1996;110:219–29.

Andreasen TJ, Green SD, Childers BJ. Massive soft-tissue injury: Diagnosis and management of necrotizing fasciitis and purpura fulminans. Plast Reconstr Surg. 2001;107:1025–35.

Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest. 1992;101:1644–55.