Contemporary evidence for necrotizing soft tissue infection management
Supporting studies
Antibiotic trials for fistula prevention
Ghahramani L et al. — Antibiotic therapy for prevention of fistula-in-ano after I&D
Surgery 2017; PMID 28822559
Mocanu V et al. — Meta-analysis of antibiotic use to prevent anal fistulas
American Journal of Surgery 2019; PMID 30773213
Trend toward fistula reduction (OR 0.64) with ciprofloxacin plus metronidazole
POCUS for abscess diagnosis
Gottlieb M et al. — POCUS for skin and soft tissue abscess diagnosis
Annals of Emergency Medicine 2020; PMID 32081383
Sensitivity 94.6%, specificity 85.4%
ACEP Ultrasound Guidelines 2023
ACEP policy statement on emergency POCUS
Supports POCUS for soft tissue abscess evaluation
Bedside versus OR drainage
Maniskas SA et al. — ER I&D equivalent to OR for perirectal abscess
American Surgeon 2024; PMID 38684322
ACR Appropriateness Criteria — Anorectal Disease
Expert Panel on Gastrointestinal Imaging et al.
Journal of the American College of Radiology 2021
ScienceDirect S1546-1440(21)00709-2
Imaging selection for complex anorectal disease
Pediatric perianal Crohn's disease
de Zoeten EF et al. — NASPGHAN Clinical Report and Consensus Statement
Journal of Pediatric Gastroenterology and Nutrition 2013
Wiley DOI: 10.1097/MPG.0b013e3182a025ee
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