Necrotizing Soft Tissue Infections

Necrotizing Soft Tissue Infection Treatment with Hyperbaric Oxygen Therapy

 

Acute Peripheral Ischemia Treatment

Several types of infections of soft tissue may benefit from adjunct treatment with hyperbaric oxygen and are included in the category of “necrotizing soft tissue infections.” Names of such clinical syndromes include crepitant anaerobic cellulitis, progressive bacterial gangrene, necrotizing fasciitis, and nonclostridial myonecrosis. Gas gangrene (clostridial myositis and myonecrosis) is a separate entity.

Hyperbaric Oxygen for Treating Necrotizing Soft Tissue Infections

Necrotizing soft tissue infections themselves may induce conditions adverse to control of the infection by normal host defense mechanisms. Since oxygen is used by white blood cells to kill bacteria, local hypoxia is not uncommon, and contributes to reducing the ability of the white blood cells (neutrophils) to continue to fight infection. Toxins produced by bacteria involved may also inhibit neutrophil activity. The primary treatments for necrotizing soft tissue infection are surgical excision of infected tissue and administration of appropriate antibiotics. Hyperbaric oxygen may be beneficial in several ways. Some of the bacteria involved in necrotizing soft tissue infections are “anaerobic,’ growing most rapidly in a low oxygen environment. In the hyperbaric chamber, tissue oxygen levels may be raised sufficiently to inhibit bacterial growth.

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The Healing Power of Hyperbaric Medicine

HBOT helps white blood cells kill bacteria, and help osteoclast clean up the dead and infected bone. Once the infection is under control and all the dead bone is gone, new bone is laid down by osteoclasts. These processes require high levels of oxygen to function optimally. HBOT also helps antibiotics work better, and in conjunction with some antibiotics, helps eradicate the biofilms that form in many of these cases.

Increases White Blood Cell Effectiveness

Stimulates Release of Stem Cells

Improves Quality of Life in Patients

Most Conditions Covered by Insurance

Commonly, these patients will receive 40-60 treatments to clear the infection.

How Long Does a Hyperbaric Treatment Take?

Most HBOT treatments generally take about 2 hours. Treatments for some indications can last up to 4 hours. Serious diving injuries can require a treatment for longer than 5 hours. The hyperbaric physician will determine how long each patient’s HBOT treatment will last.

Does Insurance Cover Hyperbaric Treatments?

Yes

Coverage for HBO is dependent on your insurance company’s Coverage Determination Policy.

No

Some indications are still not covered or coverage can vary by insurance provider. Contact us to verify coverage.

Ready to experience the power of hyperbaric oxygen therapy?

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HBOT Locations Near Me

Marietta, GA

61 Whitcher Street
Suite 2150
Marietta, GA 30060

Cunming, GA

1505 Northside Boulevard, Suite 1300, Cumming, GA 30041

Atlanta, GA

5665 Peachtree Dunwoody Road,
Suite G9,
Atlanta, GA 30342

Fayetteville, NC

3034 Boone Trail,
Fayetteville, NC 28304

San Francisco, CA

2107 O’Farrell Street,
San Francisco, CA 94115

CORONA VIRUS UPDATE

During this pandemic, we will try and minimize risks to patients and staff. Guidance changes frequently, so we may need to change our recommendations over time.

We ask that all patients come into the office wearing a mask. Masks may be removed at the instruction of the staff for hyperbaric oxygen therapy.

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