Nursing care of infantile acute necrotizing fasciitis treated with vacuum sealing drainage and continuous irrigation

Abstract

Objective To conclude the practical nursing experiences of the infantile actue necrotizing fasciitis treated with vacuum sealing drainage (VSD)and continuous irrigation. Methods 21 cases of the infantile actue necrotizing fasciitis treated with with VSD and continuous irrigation were reviewed from January 2009 to December 2014. The nursing experiences of observation for the state of the illness, the safety management of VSD, the management of medication, mental nursing and health education were summarized. Results 21 infants all recovered and were discharged. Postoperative follow up 6 months later were conducted. No obvious disabilities of the extremities were found. Among them, 8 cases were treated with VSD and continuous irrigation for 2 weeks and then had routine wound dressing changing for 10 days, the wound almost healed when discharged. 13 cases were treated with VSD and continuous irrigation for one week and then had routine dressing changing for 12 to 13 days. The wound healed when discharged. No skin necrotizing, no scar of the incision and no other complications were detected. Conclusions Using VSD and continuous irrigation to treat the actue necrotizing fasciitis in infants are of great significance for the nurses to reduce the postoperative complication and promote rehabilitation doing as follows: turning over with the postoperative nursing of VSD in a standard manner, observation and management of the incision area, maintenance of the irrigation and VSD; observation and assessment of the infant's condition, management of the medication, mental nursing and health education. Key words: Fasciitis, necrotizing; Drainage, postural; Nursing care; Infants; Continuous irrigation