{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:26:36Z","timestamp":1777865196415,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Necrotising fasciitis (NF) is a rapidly progressing and life\u2010threatening soft tissue infectious disease characterised by extensive necrosis of the fascia and subcutaneous tissue and is often accompanied by systemic toxic shock and multiple organ dysfunction. In recent years, the incidence rate of invasive Streptococcus pyogenes (GAS)infection has increased, and some strains exhibit high virulence and drug resistance, increasing the difficulty of clinical treatment. We aim to provide more precise and efficient nursing solutions for patients with necrotising fasciitis through the whole process management of critically ill patients, ultimately improving clinical outcomes. The aim of this study was to explore optimised nursing strategies for patients with necrotising fasciitis associated with\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Streptococcus pyogenes<\/jats:italic>\n                    <\/jats:styled-content>\n                    (GAS). Reporting Guidelines used: This case uses the CARE (Case Report Guidelines) guidelines from Clinical Case Reports to ensure the quality, transparency and completeness of the case study. Through refined intensive care, wound care and rehabilitation training, the patient was admitted to the ICU for 19\u2009days and discharged smoothly after 30\u2009days of hospitalisation. Early rehabilitation treatment after organ function recovery promotes patient recovery, and comprehensive nutritional support lays the foundation for subsequent surgical wound repair. (1) Improving early identification and monitoring capabilities. (2) Optimise wound management and infection control. (3) Reduced systemic inflammatory response and complications. (4) Improving patients\u2018 psychological and social support. (5) Develop standardised nursing pathways.\n                  <\/jats:p>","DOI":"10.1111\/nicc.70188","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:03:41Z","timestamp":1772982221000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nursing Care for a Patient With Septic Shock Caused by Pyogenic Streptococcus and Necrotising Fasciitis in the Right Lower Limb"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2912-0608","authenticated-orcid":false,"given":"Yanli","family":"Hou","sequence":"first","affiliation":[{"name":"Department of Critical Care Medicine, West China Hospital Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, West China Hospital Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiping","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, West China Hospital Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaodan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, West China Hospital Sichuan University  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12245-025-00848-w"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn121430\u201020200615\u201000469"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2021.0031"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/17511437221103692"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jointm.2023.05.001"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.06.088"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-021-03883-0"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/jacamr\/dlaf017"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajhp\/zxz277"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.38.5.5945"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/TIN.0000000000000337"},{"issue":"1","key":"e_1_2_14_13_1","first-page":"87","article-title":"Research Progress on ICU\u2010Acquired Weakness in Sepsis Patients","volume":"37","author":"Chen H.","year":"2025","journal-title":"Zhonghua Wei Zhong Bing Ji Jiu Yi Xue"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.2174\/0118715265326740241218080319"},{"key":"e_1_2_14_15_1","volume-title":"Streptococcus pyogenes: Basic Biology to Clinical Manifestations [Internet]","author":"Stevens D. 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