How Far The Laboratory Risk Indicator For Necrotizing Fascitis (Lrinec) Score Validate For Early Diagnosis of Necrotizing Fascitis
How Far The Laboratory Risk Indicator For Necrotizing Fascitis (Lrinec) Score Validate For Early Diagnosis
Keywords:
Necrotizing fasciitis, LRINEC score, Infections, DebridementAbstract
Introduction: Necrotizing fasciitis (NF) is a rapidly progressive infection primarily involving the fascia and subcutaneous tissue. It describes a group of relatively uncommon, but life-threatening infections of the skin, soft tissues, and muscles, which tend to progress rapidly through the fascial planes, causing rapid destruction of the fascial planes. It is a surgical emergency which requires immediate wide surgical debridement and patients to be kept on broad-spectrum antibiotics. Aim & Objective: To study validation of the laboratory risk indicator for necrotizing fasciitis (LRINEC) score for early diagnosis of necrotizing fasciitis and study its validation with the help of parameters like C-reactive protein, Total WBC count, Hemoglobin Serum sodium, Serum creatinine and Blood glucose. Methods: A prospective observational study over a period of one year in which a total of 69 patients of necrotizing fasciitis were studied and are correlated with LRINEC score. Results: The median age of the patients was 48.4 years, out of which 46 patients were male and 23 patients were female. The present study shows that out of 69 patients 42 patients (60.87%) had an LRINEC score more than 6. Conclusion: LRINEC scoring system is a valid diagnostic tool for early diagnosis of necrotizing fasciitis, but it should also be kept in mind that if the LRINEC score comes to be less than six than it should not be excluded. Emphasis must remain on expert clinical diagnosis and judgment in order not to delay surgical treatment as well as the use of the multidisciplinary team. [Alok R NJIRM 2017; 8(6):4-7]
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