Wound Care Plan

Necrotising Fasciitis – non vac

Last Updated
19 May 2025
Back

Quick Overview

Reference ID Number: TWS-WCP-33
Additional care required

Categories

Necrotising Fasciitis

Scope of Practice (ScOP) Designation

Medical Officer,Registered Nurse (RN),Enrolled Nurse (EN)

Treatment Goals

Stabilise wound post surgical debridement whilst awaiting bowel and urinary diversion. This patient had 3 areas of necrotising fasciitis (abdomen, perianal region and scrotum). ** Optional** It is worth considering putting in a Fecal Containment Device (FCD) to minimise fecal contamination if the patient's fecal matter is thin enough.

Aim of Dressing

Daily and or BD dressing aim to reduce soiling from having the patient's bowels open whilst promoting granulation tissue in a moist wound healing environment once the betadine has been absorbed

Frequency of Dressing Change

Everyday

Consult(s) / Diagnostic Test Required

Assumption that Colorectal, Urology have been consulted.

References

Shopping List

Dressing Pack (Large),Normal Saline,Ribbon Gauze (5cm x 2m),Iodine (100ml) (AKA Betadine),Zetuvit Plus (15cm x 20cm),Zetuvit Plus (10cm x 10cm),Hypafix (5cm x 10m),Sterile Gloves (Size 7)
Page Table of Contents

    Product Selection Disclaimer:

    The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre

    Photo Gallery

    Care Plans

    Multiple isolated wounds

    Patient has a urorectal fistula which he left too late and necrotising fasciitis occurred. This dressing plan is to stabilise the wounds before his large surgery to create an ileal conduit (urostomy) and a colostomy.

     Swipe 
    Step 1

    Grab a friend

    You are going to need some help to aid the patient rolling as well as manipulating tissue to minimise contamination of sterile gloves/field
    Products Used
    Step 2

    Prepare Sterile Field

    Prepare sterile products - YOU MUST use a large dressing pack for all Vac dressings otherwise your sterile field will be compromised
    Products Used
    Step 3

    Clean the wounds

    Using the large square gauze clean the wounds. ** In this wound we did it in 2 phases. First the abdomen and scrotum and then the perianal wound. **
    Products Used
    Step 4

    Pack with iodine soaked gauze

    Using the sterile kidney fill it with the ribbon gauze and then pour the betadine over it till it is saturated.
    Products Used
    Step 5

    Pack with iodine soaked gauze #2

    Without squeezing out all the iodine feed the ribbon gauze into the wound till it is comfortably packed. Use your finger or forceps to put it down to the bottom of the wound base.
    Products Used
    Step 6

    Cover with zetuvit and secure

    Lay the zetuvit over the packed area and secure. Where the wound is in a crease wedge the zetuvit in the and do not secure. Utilise an incontinence pad to secure the zetuvit in this case.
    Products Used