Outcome management of Fournier’s gangrene cases at tertiary hospital: 7 Years experience

Objective: This study aims to describe the condition of Fournier’s gangrene in Dr. Soetomo General Hospital from January 2014 to December 2020. Material and methods: This study used a retrospective analytic design, by taking data through medical records at Dr. Soetomo General Hospital from January 2...

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Bibliographic Details
Main Authors: Soetojo, -, Yufi Aulia Azmi, -
Format: Article PeerReviewed
Language:English
English
English
English
Published: Wichtig Publishing Srl 2022
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Online Access:https://repository.unair.ac.id/119747/1/Bukti%20Korespondensi%201.pdf
https://repository.unair.ac.id/119747/2/Artikel%201.pdf
https://repository.unair.ac.id/119747/3/Similarity%201.pdf
https://repository.unair.ac.id/119747/7/Karil%201.pdf
https://repository.unair.ac.id/119747/
https://journals.sagepub.com/doi/10.1177/03915603211046483
https://doi.org/10.1177/03915603211046483
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Institution: Universitas Airlangga
Language: English
English
English
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Summary:Objective: This study aims to describe the condition of Fournier’s gangrene in Dr. Soetomo General Hospital from January 2014 to December 2020. Material and methods: This study used a retrospective analytic design, by taking data through medical records at Dr. Soetomo General Hospital from January 2014 to December 2020. This study used total sampling with recorded data: age, gender, length of stay, outcome, location, comorbidities, causes, management, culture results, and Fournier’s gangrene severity index (FGSI) score. Result: Of the 135 subjects collected, it was found that 55.56% were individuals over 50 years of age. About 91.11% were male patients, with some sites being in the scrotum 50.37%. Only 25.19% of patients had no comorbids, while the rest had a history of CKD, hypertension, diabetes, or a combination of these diseases. Bacterial cultures obtained were mostly caused by the Enterobacteriaceae bacteria group (32.59%). Of the subjects we studied who experienced mortality, it was found that all were from the group with FGSI >9. Conclusion: From the results of our descriptive study, at a glance, it appears that there is a tendency for the incidence of Fournier’s gangrene in the elderly and individuals with comorbidities. And the mortality rate increases with a high FGSI value. So that FGSI could be used as a predictor of mortality in patients with FG.