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Nigerian Journal of Surgery

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Clinical Presentation of Soft‑tissue Infections and its Management: A Study of 100 Cases

Baldev Singh, Sukha Singh, Sudhir Khichy, Avinash Ghatge

Abstract


Background: Soft‑tissue infections vary widely in their nature and severity. A clear approach to the management must allow their rapid identification and treatment as they can be life‑threatening. Objective: Clinical presentation of soft‑tissue infections and its management. Materials and Methods: A prospective study based on 100 patients presenting with soft‑tissue infections was done. All the cases of soft‑tissue infections were considered irrespective of age, sex, etiological factors, or systemic disorders. The findings were evaluated regarding the pattern of soft‑tissue infections in relation to age and sex, clinical presentation, complications, duration of hospital stay, management, and mortality. Results: The most commonly involved age group was in the range of 41–60 years with male predominance. Abscess formation (45%) was the most common clinical presentation. Type 2 diabetes mellitus was the most common associated comorbid condition. Staphylococcus aureus was the most common culture isolate obtained. The most common complication seen was renal failure. Patients with surgical site infections had maximum duration of stay in the hospital. About 94% of the cases of soft‑tissue infections were managed surgically. Mortality was mostly encountered in the cases of complications of cellulitis. Conclusion: Skin and soft‑tissue infections are among the most common infections encountered by the emergency physicians. Ignorance, reluctance to treatment, economic constraints, and illiteracy delay the early detection and the initiation of proper treatment. Adequate and timely surgical intervention in most of the cases is of utmost importance to prevent the complications and reduce the mortality.

Keywords: Clinical, etiology, management, outcomes, soft‑tissue infections




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