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LRINEC Score for Necrotizing Soft Tissue Infection

Screens for necrotizing soft tissue infections.

If high suspicion for necrotizing fasciitis through clinical history and physical exam, do not calculate a LRINEC score and go straight to operative debridement.
About the Creator
Dr. Wong Chin Ho
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    Advice

    • All patients with a high clinical suspicion for necrotizing fasciitis should receive immediate surgical consultation for potential operative debridement.
    • Consider calculating a LRINEC score to distinguish patients with severe cellulitis/abscess vs necrotizing fasciitis.

    Management

    • Prompt fluid resuscitation and antibiotic administration are crucial in the treatment of necrotizing fasciitis.
    • Consider early surgical consultation in borderline cases.

    Critical Actions

    • A LRINEC score ≥ 6 is a reasonable cut-off to rule in necrotizing fasciitis, but a LRINEC < 6 does not rule out the diagnosis.
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