Necrotizing fasciitis diagnostic criteria

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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

LRINEC is a diagnostic scoring system used to distinguish necrotizing fasciitis from other soft tissue infections.

Laboratory risk indicator for necrotizing fasciitis (LRINEC) scoring system

  • LRINEC is a diagnostic scoring system used to distinguish necrotizing fasciitis from other soft tissue infections.[1]
  • Risk assessment of necrotizing faciitis using LRINEC score:
  • Low risk: ≤5
  • Intermediate risk: 6-7
  • High risk: ≥8
Variable Score
C reactive protein (mg/dL)

<150
>150

0
4

Total white blood cell count (/mm3)

<15
15-25
>25


0
1
2

Hemoglobin (g/dL)

<13.5
11-13.5
<11


0
1
2

Sodium (mmol/L)

≥135
<135


0
2

Creatinine (μmol/L)

<141
>141


0
2

Glucose (mmol/L)

<10
>10


0
1

References

  1. Wong CH, Khin LW, Heng KS, Tan KC, Low CO (2004). "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 32 (7): 1535–41. PMID 15241098.