Article
Dermatology
Jan Friederichs, Benedikt Gerl, D. Schneidmueller, Sven Hungerer
Summary: Necrotizing soft tissue infections (NSTIs) share similar pathophysiological features but can have varying clinical courses. Initial wound microbiology is important in the classification of these infections, but the timeline of microbiological colonization during the course of disease is not well defined. This study analyzed the initial and changing wound microbiology in 180 patients with NSTIs and found that certain microbiological pathogens were associated with worse outcomes and higher mortality rates. Enterococci and fungi were particularly indicative of a lethal outcome. The findings suggest that monitoring microbiological changes and identifying specific pathogens can help predict prognosis in NSTIs.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Immunology
Patrick Chung Kay Tam, Brendan Kennedy, Anushia Ashokan
Summary: This study retrospectively analyzed the effect of early surgery combined with empiric antimicrobials on mortality in necrotizing soft tissue infections (NSTIs). The results showed that early surgery independently reduced 30-day mortality, and the choice of empiric antimicrobials did not further enhance this effect.
OPEN FORUM INFECTIOUS DISEASES
(2023)
Article
Orthopedics
David M. Heath, Braden J. Boyer, Abdullah N. Ghali, David A. Momtaz, Sarah C. Nagel, Christina Brady
Summary: This study aimed to evaluate the impact of clindamycin on mortality and amputation rates in patients with necrotizing fasciitis. The findings showed that the use of clindamycin significantly decreased the risk of amputation, but had no significant effect on mortality rates.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Review
Orthopedics
Hee-Gon Park, Jong-Heon Yang, Byung-Hoon Park, Hyung-Suk Yi
Summary: Hypotension at admission, high glucose level, and high LRINEC score are independent risk factors for limb loss in patients with necrotizing soft-tissue infections (NSTIs).
CLINICS IN ORTHOPEDIC SURGERY
(2022)
Article
Medicine, General & Internal
Simone La Padula, Rosita Pensato, Antonio Zaffiro, Oana Hermeziu, Francesco D'Andrea, Chiara Pizza, Jean Paul Meningaud, Barbara Hersant
Summary: This study found that in necrotizing fasciitis of the upper limb, mortality and morbidity rates can be reduced through timely diagnosis, early treatment, and comprehensive care. Early surgical debridement is the most important factor affecting prognosis.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Vanessa Hoesl, Sally Kempa, Lukas Prantl, Kathrin Ochsenbauer, Julian Hoesl, Andreas Kehrer, Talia Bosselmann
Summary: This study investigated the suitability of LRINEC as a parameter for disease progression and prognosis in patients with Necrotizing Fasciitis. The study found that LRINEC significantly decreases after surgical debridement, and an initial LRINEC value equal to or greater than seven can predict patient lethality.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Emergency Medicine
Shadi Lahham, Inna Shniter, Monica Desai, Rana Andary, Soheil Saadat, John C. Fox, Scott Pierce
Summary: The study evaluated the use of POCUS in identifying NF patients and found that it has high sensitivity and specificity in diagnosing NF, which may help in fast and accurate diagnosis of NF.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Surgery
Femke Nawijn, Mark van Heijl, Jort Keizer, Paul J. van Koperen, Falco Hietbrink
Summary: The study investigated the association between the operative time of the initial debridement for NSTIs and mortality. Prolonged operative time was found to be associated with longer ICU and hospital stays, but not with 30-day mortality. This suggests that minimizing operative times might be beneficial for NSTI patients.
Article
Surgery
Femke Nawijn, Falco Hietbrink, Andrew B. Peitzman, Luke P. H. Leenen
Summary: Necrotizing Soft Tissue Infections (NSTIs) can present with a wide range of symptoms, from severe to subtle, leading to delays in diagnosis and treatment. Lack of awareness of this heterogeneity among physicians may result in preventable mortality.
FRONTIERS IN SURGERY
(2021)
Article
Medicine, General & Internal
Dzemail Detanac, Mehmed Mujdragic, Dzenana A. Detanac, Enes Zogic, Lejla Ceranic, Kemal Alihodzic, Mersudin Mulic, Hana Mujdragic
Summary: Necrotizing fasciitis is a severe inflammatory disease with high mortality characterized by rapid spreading. A retrospective study of 13 cases in Serbia showed an average age of 55 with comorbidities like diabetes and cardiovascular diseases. Early diagnosis and multidisciplinary approach are essential for better outcomes when treating this condition.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Infectious Diseases
Courtney M. Collins, Adara McCarty, Anahita Jalilvand, Scott Strassels, Kathryn Schubauer, Kathia Gonzalez-Gallo, Andrew Young, Jonathan Wisler
Summary: The study identifies that factors such as older age, having multiple comorbidities, cancer, liver disease, and kidney disease are associated with increased risk of in-hospital mortality, morbidity, and discharge to skilled nursing or rehabilitation facilities among NSTI patients. Diabetes mellitus, heart disease, and kidney disease are predictors for discharge to skilled nursing or rehabilitation facilities.
SURGICAL INFECTIONS
(2022)
Article
Medicine, General & Internal
Ameer Aboud, Farhan Maqbool, Raja Sabbagh, Vaughn Whittaker, Brian Donaldson
Summary: Necrotizing soft tissue infections are severe and life-threatening forms of infection that can lead to tissue and limb loss if diagnosis is delayed. Type 2 NSTIs are particularly challenging to diagnose, often presenting without classic symptoms and progressing rapidly, resulting in higher morbidity and mortality rates.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Review
Surgery
Jaco Suijizer, Kang Jing Zheng, Anoulz Pijpe, Farha Nasroe, Annebeth Meij-de Vries
Summary: The aim of this review was to assess whether skin-sparing debridement (SSd) is noninferior to en bloc debridement (EBd) regarding general outcomes. Results showed that patients treated with SSd did not have increased mortality rate, length of stay (LOS), or complication rate compared to those treated with EBd. However, the current available evidence is of insufficient quality to conclude whether SSd is noninferior to EBd for all assessed outcomes.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Dentistry, Oral Surgery & Medicine
Signe Undall-Behrend Hansen, Frederik Viktor Bang Jespersen, Merete Markvart, Ole Hyldegaard, Christina Caroline Plaschke, Thomas Bjarnsholt, Claus Henrik Nielsen, Simon Storgard Jensen
Summary: This study aimed to characterize patients with necrotizing soft-tissue infection (NSTI) in the head and neck area with odontogenic origin. The results showed that more than half of NSTI cases are associated with odontogenic infections, especially in the mandibular molars region. Evaluating the article on a scale of 1 to 10, I would give it a rating of 8.
ACTA ODONTOLOGICA SCANDINAVICA
(2023)
Review
Emergency Medicine
Chengzi Huang, Yilian Zhong, Chaochi Yue, Bin He, Yaling Li, Jun Li
Summary: Hyperbaric oxygen therapy (HBO) can significantly reduce the mortality rates and the incidence rates of complications in the treatment of necrotizing soft tissue infections (NSTI) according to a meta-analysis.
WORLD JOURNAL OF EMERGENCY SURGERY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Vera Wenter, Nathalie L. Albert, Matthias Brendel, Wolfgang P. Fendler, Clemens C. Cyran, Peter Bartenstein, Jan Friederichs, Jan-Philipp Mueller, Matthias Militz, Marcus Hacker, Sven Hungerer
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
(2017)
Article
Critical Care Medicine
W. J. Metsemakers, M. Morgenstern, M. A. McNally, T. F. Moriarty, I. McFadyen, M. Scarborough, N. A. Athanasou, P. E. Ochsner, R. Kuehl, M. Raschke, O. Borens, Z. Xie, S. Velkes, S. Hungerer, S. L. Kates, C. Zalavras, P. V. Giannoudis, R. G. Richards, M. H. J. Verhofstad
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2018)
Article
Orthopedics
Christian von Rueden, Richard Kuehl, Christoph J. Erichsen, Stephen L. Kates, Sven Hungerer, Mario Morgenstern
ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE
(2018)
Article
Orthopedics
Markus T. Berninger, Sven Hungerer, Jan Friederichs, Fabian M. Stuby, Christian Fulghum, Rolf Schipp
JOURNAL OF ARTHROPLASTY
(2019)
Article
Orthopedics
Willem-Jan Metsemakers, Mario Morgenstern, Eric Senneville, Olivier Borens, Geertje A. M. Govaert, Jolien Onsea, Melissa Depypere, R. Geoff Richards, Andrej Trampuz, Michael H. J. Verhofstad, Stephen L. Kates, Michael Raschke, Martin A. McNally, William T. Obremskey, Nick Athanasou, Bridget L. Atkins, Henrik Eckardt, Kenneth A. Egol, Sven Hungerer, Richard Kuehl, Leonard Marais, Ian Mcfadyen, William Foster, Austin T. Fragomen, T. Fintan Moriarty, Peter Ochsner, Alex Ramsden, Carlos Sancineto, Charalampos Zalavras, Werner Zimmerli
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2020)
Article
Orthopedics
Max Ettinger, Peter Savov, Henning Windhagen, Volker Buehren, Sven Hungerer
Summary: End-of-stem pain after knee and hip arthroplasty with diaphyseal supportive stems is a frequently overlooked complication, with symptoms often only appearing weeks to months after surgery. Treatment options include using a bending-plate or switching to a cemented implant after excluding differential diagnoses.
Review
Medicine, General & Internal
Constanze Hausteiner-Wiehle, Sven Hungerer
DEUTSCHES ARZTEBLATT INTERNATIONAL
(2020)
Article
Orthopedics
Dorien Schneidmueller, Sven Hungerer, Fabian Stuby, Claudio Glowalla
Summary: This text introduces the surgical technique of anatomical reduction and stable fixation of pediatric femoral neck fractures, detailing indications, contraindications, postoperative management, and common complications, while also mentioning factors that influence surgical outcomes.
OPERATIVE ORTHOPADIE UND TRAUMATOLOGIE
(2021)
Article
Emergency Medicine
Lisa Wenzel, Sabrina Sandriesser, Claudio Glowalla, Boyko Gueorguiev, Mario Perl, Fabian M. Stuby, Peter Augat, Sven Hungerer
Summary: The purpose of this study was to compare the stabilization of anterior column acetabular fractures fixed with a cranial socket revision cup with flange and iliac peg or with a suprapectineal plate osteosynthesis combined with an additional revision cup. Results showed that both surgical approaches showed comparable fracture reduction in terms of initial construct stiffness and interfragmentary movement. The potential benefit of the less-invasive cranial socket revision cup needs further investigation in clinical studies.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Medicine, General & Internal
Mischa Muehling, Sabrina Sandriesser, Claudio Glowalla, Sven Herrmann, Peter Augat, Sven Hungerer
Summary: Ipsilateral revision surgeries for total hip or knee arthroplasties are increasing due to aging population, and the risk of interprosthetic fractures depends on the distance between adjacent implants. This study investigated the strain within the femoral shaft between two implants using a physical model and finite element model. Results showed that a smaller interprosthetic distance and thinner cortices increased strain peaks, while a minimum interprosthetic distance of 10 mm seemed crucial to avoiding strain accumulation. Interprosthetic fracture management is especially important for patients with reduced bone quality.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Florian Kellermann, Simon Hackl, Iris Leister, Sven Hungerer, Matthias Militz, Fabian Stuby, Bernhard Holzmann, Jan Friederichs
Summary: Surgical site infections after pelvic and acetabular fractures are rare but serious complications. In this study, the impact of different causing bacteria, negative microbiological results at the time of wound closure, and recurrence rates of implant-associated infections were analyzed. The results showed that most cases were polymicrobial infections with staphylococci as the main cause. The recurrence rate of infection was low and not significantly influenced by the type of causing agent or the microbiological status at the time of wound closure.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Dermatology
Jan Friederichs, Benedikt Gerl, D. Schneidmueller, Sven Hungerer
Summary: Necrotizing soft tissue infections (NSTIs) share similar pathophysiological features but can have varying clinical courses. Initial wound microbiology is important in the classification of these infections, but the timeline of microbiological colonization during the course of disease is not well defined. This study analyzed the initial and changing wound microbiology in 180 patients with NSTIs and found that certain microbiological pathogens were associated with worse outcomes and higher mortality rates. Enterococci and fungi were particularly indicative of a lethal outcome. The findings suggest that monitoring microbiological changes and identifying specific pathogens can help predict prognosis in NSTIs.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Emergency Medicine
Sven Hungerer, Claudio Glowalla, Markus Berninger, Fabian Stuby
TRAUMA UND BERUFSKRANKHEIT
(2019)
Article
Orthopedics
Martin Kiechle, Andreas Thannheimer, Sven Hungerer, Jan Friederichs, Volker Buehren, Christian von Rueden
ARCHIVES OF BONE AND JOINT SURGERY-ABJS
(2019)
Article
Emergency Medicine
S. Hungerer, P. Ziegler, V. Buehren, J. Friederichs
TRAUMA UND BERUFSKRANKHEIT
(2018)