Certified Wound Ostomy Nurse (CWON) Practice Test

What may contribute to a higher mortality rate in necrotizing fasciitis patients?

1. Younger age

2. Timely medical intervention

3. Immunosuppression

4. Healthy lifestyle choices

The correct answer is: Immunosuppression

Immunosuppression is a significant factor that can contribute to a higher mortality rate in patients with necrotizing fasciitis. This condition is characterized by rapid tissue destruction, and it is critical for the body’s immune system to respond effectively to combat the infection. Patients who are immunocompromised—whether due to chronic illnesses, medications like corticosteroids, or conditions such as HIV—have a diminished ability to fight off infections. This can lead to a more severe progression of the disease, delayed recovery, and increased likelihood of systemic complications such as sepsis, all of which can ultimately result in a higher risk of mortality. In contrast, younger age generally correlates with better overall health and an increased capacity to recover from severe infections. Timely medical intervention, such as early surgical debridement and appropriate antibiotic therapy, is also crucial for improving outcomes in necrotizing fasciitis cases. Healthy lifestyle choices often support a stronger immune system and better overall health, which can further mitigate risks associated with this life-threatening condition.