[Fournier's gangrene. Experience of the CMN SXXI Hospital]. / Gangrena de Fournier: experiencia en el Hospital de Especialidades del CMN SXXI.
Arch Esp Urol
; 60(5): 525-30, 2007 Jun.
Article
en Es
| MEDLINE
| ID: mdl-17718206
OBJECTIVES: To evaluate and review the Fournier's gangrene clinical presentation, initial APACHE II score and integral treatment of patients affected in HECMNSXXI. METHODS: Retrospective, descriptive and cross-sectional study in 40 patients with Fournier's gangrene diagnosis, accepted for treatment in HECMNSXXI who gather inclusion criteria, from February 1996 to February 2006. RESULTS: Patients were between 21 and 93 yr old. In total 39 men and 1 woman were recruited. The most common etiologic factor was urethral stricture in 40% of patients. Escherichia coli was detected in 42.5% of the cultures, and represented the most common pathogen. Initial Apache II score was more commonly between 10 and 14 points (35%). 6 patients died (15%) all of them with and Apache II score above 25 points. 55% of patients were affected by diabetes mellitus. All patients with Fournier's Gangrene received a triple antibiotic schema from admittance day, associated with emergency surgical dèbridement in the whole group. CONCLUSIONS: Aggressive and multidisciplinary treatment is mandatory in all the patients affected by Fournier's gangrene. We recommend utilisation of the APACHE II score as very useful tool to determine the prognosis.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Gangrena de Fournier
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
Es
Revista:
Arch Esp Urol
Año:
2007
Tipo del documento:
Article
Pais de publicación:
España