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

• المؤلفون الرئيسيون: Soetojo, -, Yufi Aulia Azmi, -
• التنسيق: مقال PeerReviewed
• اللغة: English; English; English; English
• منشور في: Wichtig Publishing Srl 2022
• الموضوعات: R Medicine (General); RC870-923 Diseases of the genitourinary system. Urology
• الوصول للمادة أونلاين: 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

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.