Prevalencia de gangrena de fournier en pacientes mayores de 30 años atendidos en el Hospital General Guasmo sur entre el año 2018 y 2020.

Abstract

Introduction: Fournier's gangrene is an infectious disease whose infectious focus is in the genitourinary-anorectal area. It has high mortality rates and is caused by infectious pathogens capable of causing critical serious disease, where the loss of function and integrity of the affected area is frequent. Methodology: This is a retrospective study on the prevalence of Fournier's gangrene at the Hospital General Guasmo Sur. Results: 117 valid patients were found for the study, the mean age was 56 years. The pathological antecedent with the highest incidence was diabetes mellitus, present in 73.5% of subjects. The most identified infectious agent was Escherichia coli (37.6%), followed by Klebsiella pneumoniae (27.35%) and Pseudomona aeruginosa (12.8%). The perineum was the most affected anatomical site (51.2%) and the second with the highest incidence was the scrotum (44.4%). Mortality was 20%, the whom 70% had diabetes mellitus as a pathological antecedent. Klebsiella pneumoniae and Pseudomona aeruginosa were the agents with the highest mortality rates, with 42% and 33% respectively. Conclusion: Diabetes mellitus is a very important pathological antecedent for Fournier's gangrene, both with its incidence and with the mortality of the disease. Escherichia coli infection behaves less aggressively compared to a process triggered by Klebsiella pneumoniae and Pseudomona aeruginosa.