Clinical characterization of patients with Fournier’s gangrene at the Hospital General Docente “Dr. Agostinho Neto”, 2008-2018
Introduction: Fournier's gangrene is defined as a specific form of Type I necrotizing fasciitis, which constitutes a rare urological emergency with high mortality. Objective: to characterize Fournier's gangrene in patients treated in the Urology service of the Hospital General Docente “Dr...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de Ciencias Médicas de Guantánamo
2021-07-01
|
| Series: | Revista Información Científica |
| Subjects: | |
| Online Access: | http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3528 |
| _version_ | 1797728573447995392 |
|---|---|
| author | Ana Rosa Díaz-Martínez Emmanuel De los Cobos-Gutiérrez Pedro Hernán Hernández-Ávila Yeiner Arias-de la Cruz Nathalié Hernández-González |
| author_facet | Ana Rosa Díaz-Martínez Emmanuel De los Cobos-Gutiérrez Pedro Hernán Hernández-Ávila Yeiner Arias-de la Cruz Nathalié Hernández-González |
| author_sort | Ana Rosa Díaz-Martínez |
| collection | DOAJ |
| description | Introduction: Fournier's gangrene is defined as a specific form of Type I necrotizing fasciitis, which constitutes a rare urological emergency with high mortality.
Objective: to characterize Fournier's gangrene in patients treated in the Urology service of the Hospital General Docente “Dr. Agostinho Neto” in the period from January 2008 to December 2018.
Method: a descriptive study of demographic and clinical variables (age, gender, mortality, comorbidity, triggering causes, primary site of infection, site of extension of the infection, hospital stay) was carried out in 20 patients. The medical history was the primary source of information. The data were processed using the statistical program SPSS, version 20.0, and descriptive statistics were used to determine the absolute and relative frequencies (percentages) and mean.
Results: 100% corresponded to men with an average age of 64.0 years (27-92); mortality made a 40%. Diabetes mellitus was the most frequent comorbidity, in 10 of the patients (50.0%); 12 patients (60.0%) had more than one comorbid process. Skin lesions were the primary cause in 11 (55.0%), and the scrotum was the main site of origin of infection in 55.0%. The mean hospital stay was 37.7 days (7–75 days).
Conclusions: the correct evaluation of the demographic and clinical variables is necessary to establish a correct diagnosis and treatment plan. |
| first_indexed | 2024-03-12T11:16:01Z |
| format | Article |
| id | doaj.art-bea5138b02364c268e5b62a16d7fcba3 |
| institution | Directory Open Access Journal |
| issn | 1028-9933 1028-9933 |
| language | Spanish |
| last_indexed | 2024-03-12T11:16:01Z |
| publishDate | 2021-07-01 |
| publisher | Universidad de Ciencias Médicas de Guantánamo |
| record_format | Article |
| series | Revista Información Científica |
| spelling | doaj.art-bea5138b02364c268e5b62a16d7fcba32023-09-02T02:00:47ZspaUniversidad de Ciencias Médicas de GuantánamoRevista Información Científica1028-99331028-99332021-07-011004e3528e35282215Clinical characterization of patients with Fournier’s gangrene at the Hospital General Docente “Dr. Agostinho Neto”, 2008-2018Ana Rosa Díaz-Martínez0Emmanuel De los Cobos-Gutiérrez1Pedro Hernán Hernández-Ávila2Yeiner Arias-de la Cruz3Nathalié Hernández-González4Universidad de Ciencias Médicas de Guantánamo. Hospital General Docente "Agostinho. Neto", GuantánamoHospital General de Zamora, MichoacánUniversidad de Ciencias Médicas de Guantánamo. Hospital General Docente "Agostinho. Neto", GuantánamoHospital General Docente "Agostinho. Neto", GuantánamoHospital General Docente "Agostinho. Neto", GuantánamoIntroduction: Fournier's gangrene is defined as a specific form of Type I necrotizing fasciitis, which constitutes a rare urological emergency with high mortality. Objective: to characterize Fournier's gangrene in patients treated in the Urology service of the Hospital General Docente “Dr. Agostinho Neto” in the period from January 2008 to December 2018. Method: a descriptive study of demographic and clinical variables (age, gender, mortality, comorbidity, triggering causes, primary site of infection, site of extension of the infection, hospital stay) was carried out in 20 patients. The medical history was the primary source of information. The data were processed using the statistical program SPSS, version 20.0, and descriptive statistics were used to determine the absolute and relative frequencies (percentages) and mean. Results: 100% corresponded to men with an average age of 64.0 years (27-92); mortality made a 40%. Diabetes mellitus was the most frequent comorbidity, in 10 of the patients (50.0%); 12 patients (60.0%) had more than one comorbid process. Skin lesions were the primary cause in 11 (55.0%), and the scrotum was the main site of origin of infection in 55.0%. The mean hospital stay was 37.7 days (7–75 days). Conclusions: the correct evaluation of the demographic and clinical variables is necessary to establish a correct diagnosis and treatment plan.http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3528gangrena de fourniercomorbilidadmortalidaddiabetes mellitus |
| spellingShingle | Ana Rosa Díaz-Martínez Emmanuel De los Cobos-Gutiérrez Pedro Hernán Hernández-Ávila Yeiner Arias-de la Cruz Nathalié Hernández-González Clinical characterization of patients with Fournier’s gangrene at the Hospital General Docente “Dr. Agostinho Neto”, 2008-2018 Revista Información Científica gangrena de fournier comorbilidad mortalidad diabetes mellitus |
| title | Clinical characterization of patients with Fournier’s gangrene at the Hospital General Docente “Dr. Agostinho Neto”, 2008-2018 |
| title_full | Clinical characterization of patients with Fournier’s gangrene at the Hospital General Docente “Dr. Agostinho Neto”, 2008-2018 |
| title_fullStr | Clinical characterization of patients with Fournier’s gangrene at the Hospital General Docente “Dr. Agostinho Neto”, 2008-2018 |
| title_full_unstemmed | Clinical characterization of patients with Fournier’s gangrene at the Hospital General Docente “Dr. Agostinho Neto”, 2008-2018 |
| title_short | Clinical characterization of patients with Fournier’s gangrene at the Hospital General Docente “Dr. Agostinho Neto”, 2008-2018 |
| title_sort | clinical characterization of patients with fournier s gangrene at the hospital general docente dr agostinho neto 2008 2018 |
| topic | gangrena de fournier comorbilidad mortalidad diabetes mellitus |
| url | http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3528 |
| work_keys_str_mv | AT anarosadiazmartinez clinicalcharacterizationofpatientswithfourniersgangreneatthehospitalgeneraldocentedragostinhoneto20082018 AT emmanueldeloscobosgutierrez clinicalcharacterizationofpatientswithfourniersgangreneatthehospitalgeneraldocentedragostinhoneto20082018 AT pedrohernanhernandezavila clinicalcharacterizationofpatientswithfourniersgangreneatthehospitalgeneraldocentedragostinhoneto20082018 AT yeinerariasdelacruz clinicalcharacterizationofpatientswithfourniersgangreneatthehospitalgeneraldocentedragostinhoneto20082018 AT nathaliehernandezgonzalez clinicalcharacterizationofpatientswithfourniersgangreneatthehospitalgeneraldocentedragostinhoneto20082018 |