Proceso atención de enfermería en paciente adulto con gangrena de Fournier.

Fournier's gangrene is considered an unusual, life-threatening surgical emergency, consisting of necrotizing fasciitis of the external genitalia, perineal and/or perianal region. It frequently comes from an infection in the anorectal region that progresses rapidly and has a mortality rate of up to 40%, even with indicated treatment. Treatment is based on one or more emergency surgical interventions with debridement of devitalized tissue and specific antibiotic therapy. It is an unusual and potentially lethal pathology. It has an incidence of 1/7500, and its frequency is higher in elderly patients. Its mortality is reported between 3 and 67% of cases. While some case series studies have found a mortality rate of 20-40%, a larger scale 2017 study reported a mortality rate of 7.5%. (Polo, 2018). The most frequently isolated microorganisms are those found in the perineum and external genitalia, which are aerobic and anaerobic bacteria that act synergistically causing tissue necrosis. The most reported bacteria is Escherichia coli since Fournier's Gangrene has an insidious evolution, in most cases it presents with scrotal or vulvar pain that generally does not correspond to the clinical findings, edema, cellulitis and may be accompanied by foul odor, crepitation and systemic symptoms such as hyperthermia, hypotension and tachycardia; Pruritus, pain, and general discomfort usually worsen three to five days before patients present to the hospital, progressing to blistering, ischemia, and necrotic lesions.

• Main Author: Cisneros Flores, Alison Gissel (author)
• Format: bachelorThesis
• Published: 2024
• Subjects: Infección; Mortalidad; Polimicrobiana; Bacterias; Enfermería
• Online Access: http://dspace.utb.edu.ec/handle/49000/17466