The Effectiveness of Urgent Debridement for Clinically Diagnosed Vibrio Sepsis Clinically Diagnosed Vibrio Sepsis
비브리오 패혈증 환자에서 광범위 괴사조직 제거술의 유용성
손, 우영; 김, 주형; 박, 희붕; 서, 광욱; 오, 창권; 왕, 희정; 김, 명욱
Taehan Oesang Hakhoe chi, 10(2):140-147, 1997
Taehan Oesang Hakhoe chi; Journal of the Korean Association of Traumatology; Journal of the Korean Society of Traumatology; 대한외상학회지
Vibrio vulnificus can cause rapidly spreading skin and soft tissue infections with significant associated morbodity and mortality. Patients with underlying chronic illness, such as cirrhosis, diabetes mellitus, or immunosuppression, have been noted to be at high risk for rapid progression of this infections.
We evaluate the role of urgent debridement in conjunction with an empirical antibiotic
therapy in clinically diagnosed patients.
Urgent debridement was performed on 15 out of 17 patients who were clinically
diagnosed as having Vibrio vulnificus sepsis. Two patients had not debridement due to skin lesion involving entire body surface.
Among 17 patients, Vibrio vulniflcus was isolated in 10 patients. 15 patients had
underling diseases and no underlying conditions were identified in 2 cases.
After operation, immediate Mortality rate in clinically diagnosed cases of Vibrio
vulnificus sepsis was 17.6% and long term mortality rate was 23.5%
We concluded that urgent debridement performed in conjunction with the empirical
antibiotics helps to improve both immediate and long term prognosis of the patients.
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