Eficácia da terapia de pressão negativa em casciites necrosantes

Abstract

The necrotizing fasciitis is an infection of the soft tissues that progresses quickly. The external appearance of the wound can initially hide the gravity of the infection and the real dimension of the tissue committed below of it. Concomitant with the antibioticoterapy is recommended surgical treatment with removal of all necrotic tissue untilthey can reach viable tissue. After the radical debridement of the wound, still they exist important challenges of reconstruction of the wound place.The treatment of subatmospheric pressure seems to offer solutions for diverse types of complex wounds searching to facilitate a faster healing, to diminish the institutional expenses (time of internment, cares of nursing, antibiotics, etc.), to diminish the discomfort of thepatient and possible stress emotional associates to the wound, etc.Method: articles of the MEDLINE, LILACS, SciELO and Cochrane network had been analyzed. The articles would have to evidence the evolution of patients with diagnosis of necrotizing fasciitis. Injuries dealt only with the therapy of negative pressure with at least one to the following outcomes: Cure of the injury, granulation around all the bed of the lesion,measured reduction of the size of the wound, reduction of microbial load proved by biopsy and increased vascularity of the wound bed if it is confirmed by biopsy. Conclusion: One concludes that it has evidences of the effectiveness of the therapy of negative pressure in the treatment of necrotizing fasciitis associate to the antibioticoterapy and the surgical debridement.