Wong CH, Khin LW, Heng KS, Tan KC, Low CO. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med. 2004 Jul;32(7):1535-41. PubMed PMID: 15241098.

Su YC, et al. Laboratory risk indicator for necrotizing fasciitis score and the outcomes. ANZ J. Surg. 2008; 78:968-72.

Holland MJ. Application of the Laboratory Risk Indicator in Necrotising Fasciitis (LRINEC) score to patients in a tropical tertiary referral center. Anaesth Intensive Care 2009; 37:588-92.

Fernando SM, Tran A, Cheng W, et al. Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, and LRINEC Score: A Systematic Review and Meta-Analysis. Ann Surg. 2018.

Chun-I Liao, Yi-Kung Lee, Yung-Cheng Su, Chin-Hsiang Chuang, Chun-Hing Wong. Validation of the laboratory risk indicator for necrotizing fasciitis (LRINEC) score for early diagnosis of necrotizing fasciitis. Tzu Chi Medical Journal - June 2012 (Vol. 24, Issue 2, Pages 73-76, DOI: 10.1016/j.tcmj.2012.02.009)

Neeki MM, Dong F, Au C, et al. Evaluating the Laboratory Risk Indicator to Differentiate Cellulitis from Necrotizing Fasciitis in the Emergency Department. West J Emerg Med. 2017;18(4):684-689.

Dr. Wong Chin Ho

LRINEC Score for Necrotizing Soft Tissue Infection

white_blood_cell_count

hemoglobin

sodium

creatinine

glucose

Screens for necrotizing soft tissue infections.

LRINEC Score

Calvin Hwang, MD, is a clinical assistant professor in the department of orthopaedic surgery at the Stanford University School of Medicine. A native Californian, Dr. Hwang grew up in San Diego and attended Stanford University before venturing off to Case Western Reserve University School of Medicine, where he received his medical degree. He completed his residency at the Stanford/Kaiser Emergency Medicine program and fellowship in sports medicine at Stanford. He is currently a team physician for the Golden State Warriors, Stanford Football and Stanford Volleyball.

Calvin Hwang, MD

The LRINEC score screens for necrotizing soft tissue infections that require emergent surgery.

Jones Criteria for ARF

Kocher Criteria

SLICS

The American Academy of Pediatrics (AAP) focuses on the health, safety, and well-being of infants, children, and young adults. With about 67,000 members, including pediatricians, medical subspecialists, and surgical specialists, the AAP supports optimal care. Over 45,000 members are board-certified Fellows of the AAP (FAAP). Its mission is to promote children's health and well-being while supporting members' professional needs.

American Academy of Pediatrics (AAP)

The American Association for Physician Leadership&reg; (AAPL) is the world&rsquo;s oldest and largest professional association dedicated solely to maximizing physician leadership.&nbsp;From the moment physicians begin their leadership journey through the time they are seasoned leaders, AAPL provides education and training, resources and tools, and content and experiences needed to close gaps between hands-on clinical care, organization system improvements and optimized business outcomes.

American Association for Physician Leadership (AAPL)

American Association for the Study of Liver Diseases

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American College Of Emergency Physicians

The American College of Gastroenterology (ACG) supports clinicians in delivering high-quality, evidence-based care to gastroenterology patients. Its mission is to advance care for those with gastrointestinal disorders through excellence, innovation, and advocacy. ACG provides members with up-to-date scientific information through annual meetings, the American Journal of Gastroenterology, training courses, and research grants, focusing on digestive health and GI disorder treatments.

American College of Gastroenterology

American College of Rheumatology

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American Gastroenterological Association

American Heart Association

American Urological Association

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EB Medicine

MDCalc CME

Postgraduate Institute for Medicine

The Rome Foundation is a nonprofit organization dedicated to advancing the diagnosis and treatment of Disorders of Gut-Brain Interaction (DGBI), also known as functional gastrointestinal disorders. Its mission is to improve the lives of people with DGBI. For over 30 years, the Rome Foundation has worked with scientists and clinicians worldwide to classify and assess GI function and dysfunction, creating symptom-based criteria used in clinical trials and daily practice to guide diagnosis and treatment.

The ROME Foundation

Listen to the VACO co-creators break down how to use VACO\, what it does\, and what it doesn’t.

Calc Function

LRINEC Score for Necrotizing Soft Tissue Infection