Role of SFGSI, microbial culture and qSOFA as predictive factors in determining the survival rate in Fournier Gangrene patient.

Autor:	Warli SM; From the Division of Urology (Warli, Nasution, Kadar, Adhyatma, Pakpahan), Department of Surgery, Faculty of Medicine, from the Department of Urology (Warli), Universitas Sumatera Utara, and from the Department of Urology (Pakpahan), Faculty of Medicine, Universitas Indonesia, Haji Adam Malik General Hospital, Medan, Indonesia., Pakpahan KA; From the Division of Urology (Warli, Nasution, Kadar, Adhyatma, Pakpahan), Department of Surgery, Faculty of Medicine, from the Department of Urology (Warli), Universitas Sumatera Utara, and from the Department of Urology (Pakpahan), Faculty of Medicine, Universitas Indonesia, Haji Adam Malik General Hospital, Medan, Indonesia., Nasution R; From the Division of Urology (Warli, Nasution, Kadar, Adhyatma, Pakpahan), Department of Surgery, Faculty of Medicine, from the Department of Urology (Warli), Universitas Sumatera Utara, and from the Department of Urology (Pakpahan), Faculty of Medicine, Universitas Indonesia, Haji Adam Malik General Hospital, Medan, Indonesia., Kadar DD; From the Division of Urology (Warli, Nasution, Kadar, Adhyatma, Pakpahan), Department of Surgery, Faculty of Medicine, from the Department of Urology (Warli), Universitas Sumatera Utara, and from the Department of Urology (Pakpahan), Faculty of Medicine, Universitas Indonesia, Haji Adam Malik General Hospital, Medan, Indonesia., Adhyatma KP; From the Division of Urology (Warli, Nasution, Kadar, Adhyatma, Pakpahan), Department of Surgery, Faculty of Medicine, from the Department of Urology (Warli), Universitas Sumatera Utara, and from the Department of Urology (Pakpahan), Faculty of Medicine, Universitas Indonesia, Haji Adam Malik General Hospital, Medan, Indonesia.
Jazyk:	angličtina
Zdroj:	Saudi medical journal [Saudi Med J] 2024 Mar; Vol. 45 (3), pp. 230-234.
DOI:	10.15537/smj.2024.45.3.20230036
Abstrakt:	Objectives: To examine the simplified Fournier Gangrene Severe Index Score (SFGSI) and the number of species in culture findings for predicting death in Fournier Gangrene (FG) patients in terms of their predictive power. Methods: From January 2017 to July 2022, the medical records of individuals undergoing emergency surgery for FG were obtained. A total of 80 patients were examined for clinical data such as age, gender, laboratory parameters, etiology, isolated bacteria, and mortality rate. Results: We identified a statistically significant mean difference between SFGSI ( p <0.0001) and quickSOFA (qSOFA) scores ( p =0.002) in determining the survival rate of FG patients. The sensitivity and specificity of the SFGSI score in predicting mortality were 90.1% and 88.3% respectively, whereas the sensitivity and specificity of the qSOFA score were 88.2% and 86.2%. E. Coli comprised 56.2% of the bacteria, followed by S. Haemolyticus , S. Aureus , P. Aeruginosa , and K. Pneumoniae . On the basis of bacterial culture results, P. Aeruginosa had the highest fatality rate (100%) followed by S. Aureus (75%), S. Haemolyticus (30%), and E. Coli (20%), in that order. Conclusion: The survival rate of FG patients can be predicted using the sensitivity and specificity of the SFGSI and qSOFA scores together. P. Aeruginosa- infected patients have the greatest mortality rate (100%) compared to the other groups. (Copyright: © Saudi Medical Journal.)
Databáze:	MEDLINE
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