RGUHS Nat. J. Pub. Heal. Sci Vol: 14 Issue: 4 eISSN: pISSN
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Kappikeri VS 1, Vinayak Ingalalli 2, Dharmaprakash N K3
1Professor, 2Post-Graduate, 3Post-Graduate, Department of Surgery, M.R.Medical College, Kalaburagi.
Corresponding author:
Dr. V. S. Kappikeri Prof., Dept. of Surgery Basaveshwara teaching and General Hospital, Kalaburagi - 585105 vijaykapps@yahoo.co.in
Abstract
Background: Fournier's gangrene is a fatal necrotising fasciitis of the perineal region which requires aggressive medical or prompt surgical treatment.
Aim: To study risk and predisposing factors of Fournier's gangrene along with the clinical course and management techniques, and to calculate predictive values of Fournier's gangrene and severity index score (FGSI).
Materials & methods: In a prospective case review between July 2012 to June 2015, predisposing factors, clinical course and FGSI score for all cases of Fournier;s gangrene was evaluated.
Results: Commonest affected age group was 50-60 years. The disease more commonly affected in lower socio-economic group. Diabetes and alcoholism were significantly associated with the disease and association of co-morbidities gravely influenced the prognosis. Average time before referral for treatment was 3days in the survival group and 8.5 days in the non-survival group. FGSI ˂7 had a better outcome, however FGSI˃9 had high mortality rate.
Conclusion: FGSI is an effective score for mortality assessment with a high predictive value. Early detection of patients, adequate surgical debridement and proper antibiotic cover yields good results.
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