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.
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.
Study Type
OBSERVATIONAL
Enrollment
121
Aggressive debridement of the tissues undergoing fascitis
Hospital Universitario "Dr Jose Eleuterio Gonzalez"
Monterrey, Mexico
Fournier's Gangrene Severity Index
A score to predict mortality in this kind of patients
Time frame: 0-24 hours
Hospital stay ( in days)
The patients hospital stay
Time frame: 0 to 2 months
Couture
Positive or negative couture and the bacterias growing in the abscess
Time frame: 24 hours
Diabetes mellitus
if the patient had diabetes mellitus type 2 or not
Time frame: 0 - 100 years
Hypertension
if the patient had arterial hypertension or not
Time frame: 0 - 100 years
Alcohol drinking
if the patient drinks alcohol or not
Time frame: 0 - 100 years
Tobacco smoking
if the patient smokes or not
Time frame: 0 - 100 years
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