Clinical profile of patients with Fournier's Syndrome in a tertiary hospital
Main Article Content
Abstract
Introduction: Fournier's Syndrome consists of a necrotizing fasciitis that affects subcutaneous tissue and skin of the perineum and external genitalia. Characterized as a urological urgency, its treatment is based on three pillars: debridement of necrotic and infected tissues; systemic control and antibiotic therapy; and repair of the affected tissues. Objective: To identify the clinical profile of patients diagnosed with Fournier's Syndrome in an emergency hospital. Methods: This is a descriptive, retrospective and quantitative study. The sample consisted of patients diagnosed with Fournier's Syndrome and attended by the hospital curative committee from August 2016 to August 2017, who were discharged or died. Results: The study sample consisted of 14 medical records, all of them were male, aged between 21 and 82 years and mean age of 55 years. In 50% of the cases admittance to the Intensive Care Unit (ICU) was necessary. Regarding the outcome, 78.6% (11) were discharged from hospital and 21.4% (3) died. Conclusion: Assistance to patients with Fournier Syndrome is poorly standardized, resulting in high mortality rates. Development of specific protocols is necessary.
Downloads
Article Details
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY) that allows others to share and adapt the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.References
González EHH, Betancourt MG, Salazar VR. Fascitis necrotizante. Rev Arch Med Camagüey. 2015;19(6):654-64.
Blanco F, Caradonti M, Rivero D, Iborra F, Franceschelli A, Smolje L. Fascitis necrotizante perineal: Gangrena de Fournier. Rev Hosp Aeronáut Cent. 2014;9(2):113-20.
Gómez MVA, Villanueva WS, Barbosa N, Werle R. Gangrena de fournier, nuevas estrategias para un viejo mal: presentacion de un caso y revision de literatura. Rev Méd La Paz. 2016;22(2):50-5.
Santos EI, Vale ALVV, Reis ICPM, Neves PB, Pontes CM, Camara SGC. Evidências científicas brasileiras sobre gangrena de Fournier. Rev Rene. 2014;15(6):1047-55. http://dx.doi.org/10.15253/2175-6783.2014000600019
Castillo F, Moraga J, Pérez P, Alvarez C, Iglesias A. Diagnóstico y manejo precoz de la gangrena de fournier. Rev Chil Cir. 2015;67(2):181-4. http://dx.doi.org/10.4067/S0718-40262015000200011
Vaz ACR, Vale MLF, Vale MF. Gangrena de Fournier. Rev Unimontes Cient. 2006;8(1):129-34.
Abreu RAA, Leal Filho JMM, Corrêa M, Coimbra RAA, Figueira ALM, Speranzini MB. Sindrome de Fournier: estudo de 32 pacientes: do diagnostico a reconstrução. GED Gastroenterol Endosc Digestiva. 2014;33(2):45-51.
Bonita R, Beaglehole R, Kjellström T. Basic epidemiology. 2nd ed. World Health Organization; 2006.
Candelaria PAP, Klug WA, Capelhuchnik P, Fang CB. Síndrome de Fournier: análise dos fatores de mortalidade. Rev Bras Coloproctol. 2009;29(2):197-202. http://dx.doi.org/10.1590/S0101-98802009000200006
Larsson JC, Pires R, Fioravanti A, Beolchi M. Gradel J, Oliveira M. Abordaje quirúrgico combinado como alternativa mínimamente invasiva en el tratamiento de la Gangrena de Fournier. Cir Plást Ibero-Latinoam. 2017;43(1):87-96.
Sliwinski A, Kavanag HLE, Bolton D, Lawrentschuk N, Crock JG. Fournier`s gangrene - delayed pedicle flap based upon the anterior abdominal wall. Int Braz J Urol. 2014;40(3):423-6. http://dx.doi.org/10.1590/S1677-5538.IBJU.2014.03.18
Cruz RAO, Andrade LL, Arruda AJCG. Produção científica sobre Gangrena de Fournier e os cuidados de enfermagem: revisão integrativa. Rev Enferm UFPE. 2016;10(5):4329-35.
Dornelas MT, Correa MPD, Barra FML, Correa LD, Silva EC, Dornelas GV, et al. Síndrome de Fournier: 10 anos de avaliação. Rev Bras Cir Plást. 2012;27(4):600-4. http://dx.doi.org/10.1590/S1983-51752012000400022