NECROTIZING FASCIITIS: - A NARRATIVE REVIEW OF EPIDEMIOLOGY, PATHOGENESIS, AND EMERGING THERAPIES IN WESTERN UGANDA

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Autor principal: Dr. Abdifatah Abdi Ali*1, Prof. Ahmed Kiswezi1, Dr. Abdullahi Osman Abdulle3, Dr. Demoz Abraha2, G.R. Neel2, Prof. Mai Abdalla Ali1
Formato: Recurso digital
Lenguaje:inglés
Publicado: Zenodo 2025
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author Dr. Abdifatah Abdi Ali*1, Prof. Ahmed Kiswezi1, Dr. Abdullahi Osman Abdulle3, Dr. Demoz Abraha2, G.R. Neel2, Prof. Mai Abdalla Ali1
author_facet Dr. Abdifatah Abdi Ali*1, Prof. Ahmed Kiswezi1, Dr. Abdullahi Osman Abdulle3, Dr. Demoz Abraha2, G.R. Neel2, Prof. Mai Abdalla Ali1
contents <p><span>Necrotizing fasciitis (NF) is a rapidly progressing soft tissue infection with high mortality, characterized by fascial necrosis and systemic toxicity. Despite advances in surgical and antimicrobial therapies, NF remains a clinical challenge. This narrative review examines its epidemiology, pathogenesis, and emerging treatments. NF is primarily polymicrobial, with Group A Streptococcus (GAS) and mixed anaerobic-aerobic infections being most common. Pathogenesis involves bacterial virulence, immune evasion, and host susceptibility (e.g., diabetes, immunosuppression). Early surgical debridement and broad-spectrum antibiotics remain the cornerstone of treatment, while emerging therapies—such as immunomodulation (IVIG, hyperbaric oxygen), novel antimicrobials, and bacteriophage therapy—show promise. A multidisciplinary approach is essential, and further trials are needed to validate new treatments.</span></p>
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spellingShingle NECROTIZING FASCIITIS: - A NARRATIVE REVIEW OF EPIDEMIOLOGY, PATHOGENESIS, AND EMERGING THERAPIES IN WESTERN UGANDA
Dr. Abdifatah Abdi Ali*1, Prof. Ahmed Kiswezi1, Dr. Abdullahi Osman Abdulle3, Dr. Demoz Abraha2, G.R. Neel2, Prof. Mai Abdalla Ali1
<p><span>Necrotizing fasciitis (NF) is a rapidly progressing soft tissue infection with high mortality, characterized by fascial necrosis and systemic toxicity. Despite advances in surgical and antimicrobial therapies, NF remains a clinical challenge. This narrative review examines its epidemiology, pathogenesis, and emerging treatments. NF is primarily polymicrobial, with Group A Streptococcus (GAS) and mixed anaerobic-aerobic infections being most common. Pathogenesis involves bacterial virulence, immune evasion, and host susceptibility (e.g., diabetes, immunosuppression). Early surgical debridement and broad-spectrum antibiotics remain the cornerstone of treatment, while emerging therapies—such as immunomodulation (IVIG, hyperbaric oxygen), novel antimicrobials, and bacteriophage therapy—show promise. A multidisciplinary approach is essential, and further trials are needed to validate new treatments.</span></p>
title NECROTIZING FASCIITIS: - A NARRATIVE REVIEW OF EPIDEMIOLOGY, PATHOGENESIS, AND EMERGING THERAPIES IN WESTERN UGANDA
url https://doi.org/10.5281/zenodo.17221568