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[Prognostic value of the LRINEC score (Laboratory Risk Indicator for Necrotizing Fasciitis) in soft tissue infections: a prospective study at Clermont-Ferrand University hospital].

Identifieur interne : 002B82 ( PubMed/Curation ); précédent : 002B81; suivant : 002B83

[Prognostic value of the LRINEC score (Laboratory Risk Indicator for Necrotizing Fasciitis) in soft tissue infections: a prospective study at Clermont-Ferrand University hospital].

Auteurs : V. Corbin [France] ; M. Vidal ; J. Beytout ; H. Laurichesse ; M. D'Incan ; P. Souteyrand ; O. Lesens

Source :

RBID : pubmed:20110062

Descripteurs français

English descriptors

Abstract

The LRINEC score was developed in a retrospective study in order to distinguish necrotizing fasciitis from severe soft tissue infections using laboratory data.

DOI: 10.1016/j.annder.2009.12.002
PubMed: 20110062

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pubmed:20110062

Le document en format XML

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<div type="abstract" xml:lang="en">The LRINEC score was developed in a retrospective study in order to distinguish necrotizing fasciitis from severe soft tissue infections using laboratory data.</div>
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<ArticleTitle>[Prognostic value of the LRINEC score (Laboratory Risk Indicator for Necrotizing Fasciitis) in soft tissue infections: a prospective study at Clermont-Ferrand University hospital].</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The LRINEC score was developed in a retrospective study in order to distinguish necrotizing fasciitis from severe soft tissue infections using laboratory data.</AbstractText>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">To evaluate the prognostic value of the LRINEC score in infectious cellulitis.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">A prospective study was performed at the departments of infectious diseases and dermatology of the Clermont-Ferrand University Hospital. The three evaluation criteria were: time from initiation of antibiotics to regression of erythema, duration of fever and occurrence of complications (abscess, surgery, septic shock, necrotizing fasciitis, death, transfer to intensive care). Potential predictive variables were: LRINEC score>6 at admission, comorbidities, local appearance, clinical presentation and soft tissue ultrasound results.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty patients were included. The rate of complications was higher for patients with a LRINEC score>6 (54%) than for patients with a score<6 (12%, P=0.008). However, a LRINEC score>6 on admission was not significantly associated with increased duration of erythema or of fever. Prior lymphoedema was associated with a better prognosis.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">The LRINEC score may be a useful tool for the detection of complicated forms of soft tissue infections. Patients with a LRINEC score>6 on admission should be carefully evaluated (hospitalization, surgical assessment, close monitoring).</AbstractText>
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