FULMINANT SOFT TISSUE INFECTIONS CAUSED BY ANAEROBIC BACTERIA – THE PARAMEDIC’S PERSPECTIVE

Abstract

Anaerobic bacterial infections are a broad group of conditions ranging from superficial skin infections to deeply embedded necrotic soft tissue infection. It has been observed that amongst all the microorganisms causing soft tissue infection, as many as 70% of anaerobic bacteria are unquestionably related to mortality in fulminant infections. Such infections are most commonly caused by an open wound that is insufficiently disinfected, or through the wound coming into contact with soil or human or animal faeces. This is particularly the case for wounds resulting from traffic accidents and injuries sustained in agriculture. In 80-95% of cases, the bacteria Clostridium perfringens is responsible for the appearance of gas gangrene manifested by sharp pain and crepitus in the wound area, as well as disseminated intravascular coagulation and septic shock. Due to time-consuming diagnosis and delays in obtaining the results of bacteriological tests, identifying the condition and commencing treatment relies mainly on a paramedic’s knowledge and experience. Improving the body of knowledge on soft tissue infection and awareness of the potential risks can affect the patient’s prognosis.