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Gas forming necrotizing infections.
Rol of Hyperbaric Oxygen Therapy

ENCINAS M, HERRERO J, SANCHEZ U, ORTIZ F, SANTIDRIAN M, QUESADA A.

Departament of Intensive Medicine
Hyperbaric Medicine Unit
University Hospital Marqués de Valdecilla
Santander
 
Abstract of a paper published in the medical newsletter MEDICINA CLINICA
Med Clin (Barc) 1988; 90(8):316-20

ABSTRACT

The present review focuses on 27 patients with the clinical diagnosis of gas gangrene of several localizations. All patients received conventional treatment (surgery, antibiotics) and a protocol of hyperbaric oxygen therapy (HOT). Owing to the fact that the causative organisms are not invariably clostridia, we propose the denomination recrotizing gas-producing infections to define the disorder common to all patients. A control group was constituted with patients of the same characteristics who were treated in the hospital previosuly to the availability of hyperbaric chamber. A significant difference in mortality rate was found between both groups, favouring the group treated with HOT. Bacteroides fragilis seemed to be the organism most commonly associated with fatal cases. Fournier's syndrome was the most commonly improved by HOT.


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