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Fournier’s gangrene: Our experience with 50 patients and analysis of factors affecting mortality

Author: 
Aman Kumar, Anubha, Kundan and Ravindra Kumar
Subject Area: 
Health Sciences
Abstract: 

Fournier’s gangrene (FG) is a rare, rapidly progressive, fulminant form of necrotizing fasciitis of the genital, perianal and perineal regions, which may extend up to the abdominal wall between the fascial planes. Early diagnosis, aggressive resuscitation of the patient, administration of broad-spectrum antibiotics and aggressive radical surgical debridement(s), are the key of successful treatment. In this study, we aimed to investigate patients with FG and to identify risk factors that affect mortality. In this study the treatment records of 50 patients admitted to Patna medical college, General Surgery Department, with a diagnosis of Fournier’s gangrene during the 1 year period between May 2015 to April 2016 were reviewed. Of the 50 patients studied, 12 died and 38 survived; the overall mortality rate was 24%. The most frequent bacterial organisms cultured from the wound sites were Escherichia coli (85.6%) and Klebsiella (40.5%). Patients had a median hospital stay of 21 (range, 4–66) days. The median hospitalization time (MHT) for the surviving patients was 26.00 days compared to 8.00 days for the non-survivors.

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