Fournier Gangrene, Fournier's Gangrene of Penis, Fournier's Gangrene of Scrotum
Conditions
Keywords
fournier's, gangrene
Brief summary
Background: Fournier's gangrene it's a necrotizing infection of the genital area, with high morbidity and mortality. The site of infection its the origin of the necrotizing fasciitis. There are 4 well known origins of Fournier's gangrene: Testicular, Intestinal, Urinary and cutaneous, and its prognostic value has not been established yet, that's because the lack of case series with adequate number of patients. This is a retrospective study in which we evaluate the prognostic factors of every patient and its mortality compared with its origin area and multiple scores with their survival rates and hospital stay.
Detailed description
Objective: To evaluate origins of Fournier's gangrene as a prognostic value in the morbidity and mortality. Patients and methods: This is a retrospective study where patients from a single hospital from 2007 to 2016 were included. They were categorized in 4 groups matching the origin of infection. In every group categorizing with the origin of infection and determined severity factors, days of hospital stay, Fournier's gangrene severity index and mortality. A statistic analysis will be done using lineal multivariable analysis.
Interventions
PROCEDUREAggressive debridement
Aggressive debridement of the tissues undergoing fascitis
Sponsors
Hospital Universitario Dr. Jose E. Gonzalez
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
MALE
Healthy volunteers
No
Inclusion criteria
* Male Patient * Fournier's Gangrene * All patients treated with two antibiotics * All patients undergone with aggressive debridement
Exclusion criteria
* Female * Not having Fournier's Gangrene
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fournier's Gangrene Severity Index | 0-24 hours | A score to predict mortality in this kind of patients |
| Hospital stay ( in days) | 0 to 2 months | The patients hospital stay |
| Couture | 24 hours | Positive or negative couture and the bacterias growing in the abscess |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diabetes mellitus | 0 - 100 years | if the patient had diabetes mellitus type 2 or not |
| Tobacco smoking | 0 - 100 years | if the patient smokes or not |
| Hypertension | 0 - 100 years | if the patient had arterial hypertension or not |
| Alcohol drinking | 0 - 100 years | if the patient drinks alcohol or not |
Countries
Mexico
Outcome results
None listed