Evaluation of the Fournier’s Gangrene Severity Index (FGSI) in our experincene

Michele Potenzoni1, Andrea Prati1, Antonio Savino1, Roberto Arnaudi1, Nicoletta Uliano1, Annamaria Pieri1, Sergio Carmelo DEstro Pastizzaro1, Federico Cantoni1, Dniel Martens1, Chiara Grassani1
  • 1 Ospedale di Vaio (Fidenza)

Objective

Fournier gangrene (FG) is a life-threatening bacterial infection disease of soft tissue of the external genital area characterized by a necroticizing fiscitis of perigenital region and tendency of spreading to perineum and perianal region.
Fournier’s Gangrene Severity Index (FGSI) has been reported to predict the outcome in FG patients where a FGSI score above 9 is sensitive and specific as a mortality predictor in FG patients.
We reviewed retrospectively the data of 13 patients treated primarily or followed in our center between 2013 and 2016 with FG.
The median age was 64.8 years old ( range 46-91 years old ). The mean hospital stay of patients was 16 days (range 18-25 days). Diabete mellitus was present in 10 patients, 8 patients were HCV + and 2 patients were indwelling catheter. The median admission FGSI scores for survivors and nonsurvivors were 8 and 2.6 respectively.
In our experience FGSI scores does not correlate with specific survival in FG patients.

Reference

Evaluation of the Utility of the Fournier's Gangrene Severity Index in the Management of Fournier's Gangrene in ….: Satyajeet Verma, Ashutosh Sayana,J Cutan Aesthet Surg. 2012 Oct-Dec; 5(4): 273–276.
Outcome prediction in patients with Fournier's gangrene. Laor E, Palmer LS, Tolia BM, Reid RE, Winter HI J Urol. 1995 Jul; 154(1):

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