PROFILE OF PATIENTS WITH FOURNIER'S SYNDROME TREATED IN A PUBLIC HOSPITAL IN THE: OESTE DO PARANÁ

• DOI: 10.22533/at.ed.1592262227053

• Palavras-chave: Fournier, gangrene, infection, mortality.

• Keywords: Fournier, gangrene, infection, mortality.

• Abstract:

  Goal: To analyze the profile of patients with DES treated in a tertiary public hospital in Oeste do Paraná.

  Methods: A cross-sectional, retrospective and descriptive study was carried out based on the analysis of medical records of patients with FS from January 2012 to November 2016.

  Results: 40 patients with DES were treated in the period: 29 (72.5%) men and 11 (27.5%) women. The mean age was 51.7 ±16.3 years. The mean time of disease evolution, from the initial symptom to admission to the service, was 10.5 ± 1.2 days. All patients had some clinical sign such as pain, bulging, erythema, among others, and associated comorbidities (38 patients - 95%), the most common being type II diabetes mellitus (DM) and systemic arterial hypertension (SAH). The majority (30 patients – 75%) had a probable etiology of perianal abscess. All patients underwent antibiotic therapy and surgical treatment with a mean of 1.8 ± 1.1 surgeries/patient. Nine (22.5%) patients died. There was a strong correlation between the presence of sepsis on admission and mortality.

   

  Conclusion: Patients with FS in this series had a long time of disease and a high prevalence of comorbidities. It is possible that improvements in the basic health system, with control of underlying chronic diseases and early referral to a specialist, improve the prognosis of these patients.

• Número de páginas: 8