A patient is diagnosed with gas gangrene of the foot. Best management would be
Correct Answer: Antibiotics with surgical debridement
Description: All the above are pa of gasgangrene management, the main stay is debridment and antibiotics Treatment for gas gangrene includes, Inj. Benzyl penicillin 20 lacs 4th hourly. + Inj. metronidazole 500 mg 8th hourly + Inj. aminoglycosides (if blood urea is normal) or third generation cephalosporins. Polyvalent antiserum 25,000 units given intravenously after a test dose and repeated after 6 hours. Liberal incisions are given. All dead tissues are excised and debridement is done until healthy tissue bleeds. * Hyperbaric oxygen is very useful. Rehydration and maintaining optimum urine output (30 ml/hour) (0.5 ml/kg/hour). Electrolyte management. In severe cases amputation has to be done as a lifesaving procedure - stump should never be closed. Often ventilator suppo is required. ref:SRB;s manual of surgery,ed 3,pg no 46
Category:
Surgery
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