SCIENTIFIC EVIDENCES ON THERAPEUTIC METHODS IN TREATMENT OF FOURNIER'S GANGRENE

Authors

  • Daniel de Macêdo Rocha State University of Piauí
  • Sandra Marina Gonçalves Bezerra Federal University of Piauí
  • Lídya Tolstenko Nogueira Federal University of Piauí
  • Maria Clara da Rocha Batista Viana Hospital Geral Promorar and Hospital Foundation of Teresina
  • Claudia Daniella Avelino Vasconcelos Benício Federal University of Piauí
  • Raquel Rodrigues dos Santos Hospital Geral Promorar and Hospital Foundation of Teresina
  • Vanessa Caminha Aguiar Lopes Hospital Foundation of Teresina
  • Suelen dos Santos Silva Hospital Foundation of Teresina
  • Naila Luany Carvalho Brito Hospital Foundation of Teresina
  • Helayne Cassandra Ferreira Macedo State University of Piauí
  • Deusiane Pereira da Silva State University of Piauí
  • Wanderson Ferreira da Silva Hospital Foundation of Teresina
  • Ketiana Melo Guimarães Hospital Foundation of Teresina
  • Emilson Pereira de Araújo Hospital Foundation of Teresina
  • Fábio Marcos de Sousa Hospital Foundation of Teresina
  • Antonio Gilberto Albuquerque Brito Hospital Foundation of Teresina
  • Raimundo Félix dos Santos Junior Hospital Foundation of Teresina
  • Antônio Vieira de Jesus Hospital Foundation of Teresina

Keywords:

Fournier's Gangrene, Therapeutic, Prevalence.

Abstract

Introduction: Fournier's Gangrene consists of multi-bacterial rapid progression infection, involving genital, abdominal, and perineal region, promoting affected tissue necrosis. Considered a public health problem, compromises the patient life quality, and has high mortality coefficients.

Objective: Analyzing in the literature the therapeutic measures in patients diagnosed with Fournier's Gangrene.

Methodology: Integrative review from productions picked up in LILACS, IBECS, MEDLINE, PUBMED, and CUMED databases in the period 2005 to 2015. Fournier's Gangrene, Prevalence and Therapy descriptors in English and Portuguese were used. The search amounted to 765 productions, of which 17 were included as a sample for this study.

Results: The analysis regarding the publications enabled the construction of two thematic categories: demographic, epidemiological and clinical aspects of patients diagnosed with Fournier's Gangrene and the therapeutic modalities in treating Fournier's Gangrene. It was observed that the disease is prevalent in males, elderly, and people with diabetes mellitus. The treatment is based on antibiotics, surgical debridement, and skin reconstruction for the affected areas.

Conclusion: The diagnosis, assessment and multidisciplinary early intervention are essential to ensure proper treatment and life maintenance.

 

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Published

2016-10-02

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Section

Urology

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