The predictors of mortality in patients with anogenital necrotizing fasciitis (Fournier's gangrene)

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dc.authoridGeçit, İlhan/0000-0001-7329-6971
dc.authoridSimsek, Arife/0000-0002-4807-3597
dc.authorwosidGeçit, İlhan/ABI-8258-2020
dc.authorwosidSimsek, Arife/AAB-3245-2021
dc.contributor.authorSimsek, A.
dc.contributor.authorDirican, A.
dc.contributor.authorGecit, I
dc.date.accessioned2024-08-04T21:02:09Z
dc.date.available2024-08-04T21:02:09Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVE To evaluate the predictors of mortality in the Fournier's gangrene form of necrotizing fasciitis (NF). METHOD The medical records of patients with anogenital NF who were treated in a tertiary care hospital between January 2010 and December 2018 were reviewed, retrospectively. RESULTS This study included 86 patients, 76 males and 10 females. Perianal abscess (30.2%) was the leading precipitating event causing NF. The scrotum and perineum were the most commonly affected sites, 73.2% and 40.7%, respectively. NF extended beyond the urogenital and or anorectal triangle in 30.2% of cases. Escherichia coli (E. coli) was the most common microorganism isolated in tissue cultures (55.3%), and Klebsiella pneumoniae the second most common (15.3%). Admission to the intensive care unit (ICU) was required for 50 patients (58.1%), and the mortality rate was 23.3%. Older age (>60 years), smoking, and extension of the infection beyond the urogenital and or anorectal triangle were all significantly associated with mortality. CONCLUSIONS Age >60 years, smoking, and extension of the infection beyond urogenital and or anorectal triangle were significantly related with mortality in anogenital NF. Prompt diagnosis and timely intervention are essential to prevent spread of the infection.en_US
dc.identifier.endpage655en_US
dc.identifier.issn1105-3992
dc.identifier.issue5en_US
dc.identifier.startpage650en_US
dc.identifier.urihttps://hdl.handle.net/11616/104496
dc.identifier.volume37en_US
dc.identifier.wosWOS:000582640000008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherAthens Medical Socen_US
dc.relation.ispartofArchives of Hellenic Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFournier's gangreneen_US
dc.subjectMortalityen_US
dc.subjectNecrotizing fasciitisen_US
dc.subjectNecrotizing soft tissue infectionsen_US
dc.titleThe predictors of mortality in patients with anogenital necrotizing fasciitis (Fournier's gangrene)en_US
dc.typeArticleen_US

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