Nursing Care for a Patient With Septic Shock Caused by Pyogenic Streptococcus and Necrotising Fasciitis in the Right Lower Limb

Necrotising fasciitis (NF) is a rapidly progressing and life-threatening 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 Streptococcus pyogenes (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 days and discharged smoothly after 30 days 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' psychological and social support. (5) Develop standardised nursing pathways.