G.A. Popescu*
*Dr. Gabriel-Adrian Popescu, Clinica I de Boli Infecțioase Colentina, UMF “Carol Davila”, București
Abstract
The mortality of gas-gangrene maintains itself above 20%, and the prophylaxis has relative efficiency, because of the big percentage of medicale and “spontaneous” cases: the necessity to maximalize the treatment remains extremly present. The definition of gas-gangrene; “myonecrosis caused by anaerobes” allows an unitary approach of the therapy of this syndrome. The most propitious conduct results from the analysis of the present therapeutical resources; rapid diagnosis. preserving surgery with reterated controls at 8-12 hours. the obligation to make hyperbaric oxigenotherapy for minimum 5 days, int ensive care, the choice of effective antibiotics (Penicillin G + aminoglycoside + meotronidazol or carbapenem) the therapy with gas-gangrene antiserum is osolescent, and it has a lot of allergical eff ects.