Necrotizing fasciitis classification
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Classification
- Necrotizing fasciitis may be classified according to international classification of diseases-10 (ICD-10) into:[1]
- M72.6 Necrotizing fasciitis
- Based on microbiological findings, necrotizing fasciitis may be classified into four types[2]
Type 1:
| Type | Organism |
|---|---|
| Type 1 (70%-80% cases) Polymicrobial/Synergistic |
● Mixed aerobes and anaerobes ● Often bowel flora-derived |
| Type 2 (20% to 30% cases) Monomicrobial |
● Beta-Hemolytic Streptococci group A (Streptococcus pyogenes) ● with/without Staphylococcus aureus ● Skin or throat derived |
| Type 3 (common in Asia) Gram negative monomicrobial NF (including marine related organisms) |
● Marine Vibrio vulnificus ● Vibrio damselae |
| Type 4 (Fungal) | ● Candida ● Mucor spp ● Rhizopus spp |
References
- ↑ ICD-10 version:2016. http://apps.who.int/classifications/icd10/browse/2016/en#/M72.6 2016 Accessed on August 25,2016
- ↑ Morgan MS (2010). "Diagnosis and management of necrotising fasciitis: a multiparametric approach". J Hosp Infect. 75 (4): 249–57. doi:10.1016/j.jhin.2010.01.028. PMID 20542593.