{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:25:54Z","timestamp":1777526754860,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2016,9,23]],"date-time":"2016-09-23T00:00:00Z","timestamp":1474588800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>Objective. To assess the promptness and appropriateness of management in pediatric cases of necrotizing fasciitis (NF). Methods. A retrospective chart review examined cases of pediatric NF treated at a pediatric tertiary care center over a 10-year period. Results. Twelve patients were identified over the 10-year period. The median (25th to 75th centile) times to appropriate antibiotic administration, infectious disease consults, surgical consults and debridement surgeries were 2.6 (2.1-3.2), 7.7 (3.4-24.4), 4.6 (1.7-21.0), and 22.1 (10.3-28.4) hours following assessment at triage. The initial antibiotic(s) administered covered the causative organism in 9 of 12 cases. The median (25th to 75th centile) length of hospital stay was 21 (14.0-35.5) days. Conclusions. The large variability in the care of these patients speaks to the range of their presenting symptomatology. The lack of a standardized approach to the pediatric patient with suspected NF results in delays in management and suboptimal antibiotic choice.<\/jats:p>","DOI":"10.1177\/0009922816667314","type":"journal-article","created":{"date-parts":[[2016,9,23]],"date-time":"2016-09-23T21:20:56Z","timestamp":1474665656000},"page":"627-633","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["A 10-Year Review of Necrotizing Fasciitis in the Pediatric Population: Delays to Diagnosis and Management"],"prefix":"10.1177","volume":"56","author":[{"given":"Heather","family":"VanderMeulen","sequence":"first","affiliation":[{"name":"University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey M.","family":"Pernica","sequence":"additional","affiliation":[{"name":"McMaster Children\u2019s Hospital, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madan","family":"Roy","sequence":"additional","affiliation":[{"name":"McMaster Children\u2019s Hospital, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"April J.","family":"Kam","sequence":"additional","affiliation":[{"name":"McMaster Children\u2019s Hospital, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,9,23]]},"reference":[{"key":"bibr1-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2007.02.019"},{"key":"bibr2-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e3182456f02"},{"key":"bibr3-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.138.7.893"},{"key":"bibr4-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(97)00160-5"},{"key":"bibr5-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(96)90104-9"},{"key":"bibr6-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198711000-00018"},{"key":"bibr7-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000129486.35458.7D"},{"key":"bibr8-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1086\/317525"},{"key":"bibr9-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.07.018"},{"key":"bibr10-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1179\/146532805X58111"},{"key":"bibr11-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042683"},{"key":"bibr12-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e318243fa36"},{"key":"bibr13-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(00)00360-3"},{"key":"bibr14-0009922816667314","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu304"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922816667314","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0009922816667314","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922816667314","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:30:47Z","timestamp":1777393847000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/0009922816667314"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,23]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1177\/0009922816667314"],"URL":"https:\/\/doi.org\/10.1177\/0009922816667314","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,23]]}}}