坏死性软组织感染临床诊治专家共识

标题: 坏死性软组织感染临床诊治专家共识
title: Expert consensus on clinical diagnosis and treatment of necrotic soft tissue infection
版本: 原创版
version: Original
分类: 专家共识
classification: Experts consensus
领域: 诊疗
field: Diagnosis and Treatment
国家和地区: 中国
Country and region: China
指南使用者: 医务工作者
Guide users: The medical staff
证据分级方法: 推荐等级分为三级。A(强):将来的研究几乎不可能改变当前的评估结果。B(中):将来的研究可能对目前的评估结果有重要影响, 从而可能改变当前推荐。C(弱):将来的研究很可能对目前的评估结果有重要影响, 从而很可能改变当前推荐。
Evidence grading method: The recommendation level is divided into three levels. A (strong): it is almost impossible for future research to change the current evaluation results. B (middle): future research may have an important impact on the current evaluation results, which may change the current recommendation. C (weak): future research is likely to have an important impact on the current evaluation results, which is likely to change the current recommendation.
制定单位: 温州医科大学附属第一医院
Formulating unit: Emergency Department, the First Affiliated Hospital of Wenzhou Medical University,
注册时间: 2023-03-01
Registration time:
注册编号: PREPARE-2023CN109
Registration number:
指南制订的目的: 坏死性软组织感染(NSTIs)主要是以皮肤及皮下软组织坏死为主要特征,早期症状无特异性,疾病进展迅速,常出现感染性休克导致多器官功能衰竭,具有较高的致死性和致残性。然而,国内尚无一部关于坏死性软组织感染诊治的指南或共识,导致各级医院医护人员缺乏统一的认识和应有的规范。为此,急需切合临床实际,制定坏死性软组织感染诊治专家共识,提高诊疗水平,最终降低死亡率。
Purpose of the guideline: Necrotizing soft tissue infections (NSTIs) are mainly characterized by skin and subcutaneous soft tissue necrosis. The early symptoms are non-specific, the disease progresses rapidly, and infectious shock often leads to multiple organ failure, which is highly lethal and disabling. However, there is no guideline or consensus on the diagnosis and treatment of necrotizing soft tissue infection in China, which leads to the lack of unified understanding and due norms for medical staff at all levels of hospitals. For this reason, it is urgent to formulate the expert consensus on the diagnosis and treatment of necrotic soft tissue infection in line with clinical practice, improve the diagnosis and treatment level, and ultimately reduce the mortality.