The use of 5% mafenide acetate solution in the postgraft treatment of necrotizing fasciitis

E. C. Heinle, W. R. Dougherty, W. L. Garner, D. A. Reilly

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Twenty-nine patients with necrotizing fasciitis who were treated with 5% mafenide acetate solution (MAS) as an adjunct after grafting were compared with 45 patients treated without MAS. Statistical analysis of differences was obtained through P values by X2 testing. The MAS+ (M) and MAS- (C) groups were similar in percent skin deficit (M = 7.5%; C = 9.8%), with the extremity being the most common area of infection. Streptococcus was the most common single organism but polymicrobial infections were the most prevalent (M = 48%; C = 58%). Patients with necrotizing fasciitis treated with MAS had fewer debridements per patient (M = 3.7; C = 5.4), fewer closure procedures (average per patient: M = 1.2; C = 1.73) and a higher percent of first-time closures (83 vs 59%; X2 = 4.26; P = 0.039). There is a trend toward a lower mortality rate (3.4 vs 13%; X2 = 2.00; P = 0.158). We conclude that MAS is a useful adjunct in necrotizing fasciitis wound care protocols.

Original languageEnglish (US)
Pages (from-to)35-40
Number of pages6
JournalJournal of Burn Care and Rehabilitation
Issue number1
StatePublished - 2001
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • General Nursing
  • Emergency Medicine
  • Rehabilitation
  • General Health Professions


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