Evaluation of the utility of different scoring systems (FGSI, LRINEC and NLR) in the management of Fournier’s gangrene

International Urology and Nephrology

Volumn 47, Issue 2, 2015, Pages 243-248

  Bozkurt, Ozan ^a   Sen, Volkan ^a   Demir, Omer ^a   Esen, Adil ^a  

^a DOKUZ EYLUL UNIVERSITY   (Turkey)

Author keywords

FGSI; Fournier s gangrene; LRINEC; Neutrophile lymphocyte ratio

Indexed keywords

CEFTRIAXONE; CIPROFLOXACIN; METRONIDAZOLE;

ADULT; ANTIBIOTIC THERAPY; ARTICLE; ARTIFICIAL VENTILATION; CLINICAL ARTICLE; COLOSTOMY; CONTROLLED STUDY; CYSTOSTOMY; DEBRIDEMENT; DIABETES MELLITUS; DISEASE PREDISPOSITION; DISEASE SEVERITY ASSESSMENT; EVALUATION STUDY; FOURNIER GANGRENE; FOURNIER GANGRENE SEVERITY INDEX; HISTOPATHOLOGY; HOSPITALIZATION; HUMAN; INTENSIVE CARE UNIT; LABORATORY RISK INDICATOR FOR NECROTIZING FASCIITIS; LABORATORY TEST; MEDICAL RECORD REVIEW; MICROBIOLOGICAL EXAMINATION; MORTALITY; NEUTROPHILE LYMPHOCYTE RATIO; PHYSICAL EXAMINATION; PROGNOSIS; SCORING SYSTEM; SURVIVOR; TISSUE CULTURE; AGE; AGED; LYMPHOCYTE COUNT; MALE; MICROBIOLOGY; MIDDLE AGED; NEUTROPHIL; PENIS; RECEIVER OPERATING CHARACTERISTIC; RETROSPECTIVE STUDY; SCROTUM; SEVERITY OF ILLNESS INDEX; SURVIVAL RATE; VERY ELDERLY; YOUNG ADULT;

ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; DIABETES MELLITUS; FOURNIER GANGRENE; HUMANS; LYMPHOCYTE COUNT; MALE; MIDDLE AGED; NEUTROPHILS; PENIS; PROGNOSIS; RESPIRATION, ARTIFICIAL; RETROSPECTIVE STUDIES; ROC CURVE; SCROTUM; SEVERITY OF ILLNESS INDEX; SURVIVAL RATE; YOUNG ADULT;

EID: 84925515807     PISSN: 03011623     EISSN: 15732584     Source Type: Journal    
DOI: 10.1007/s11255-014-0897-5     Document Type: Article

References (22)

1. Fournier JA (1883) Gangrene foudroyante de la verge. Semin Med 3:345
2. Shyam DC, Rapsang AG (2013) Fournier’s gangrene. Surgeon 11(4):222–232. doi:10.1016/j.surge.2013.02.001
3. Laor E, Palmer LS, Tolia BM, Reid RE, Winter HI (1995) Outcome prediction in patients with Fournier’s gangrene. J Urol 154(1):89–92
4. Wong CH, Khin LW, Heng KS, Tan KC, Low CO (2004) The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med 32:1535–1541
5. Zahorec R (2001) Ratio of neutrophil to lymphocyte counts-rapid and simple parameter of systemic inflammation and stress in critically ill. Bratisl Lek Listy 102:5–14
6. De Jager CP, van Wijk PT, Mathoera RB, de Jongh-Leuvenink J, van der Poll T, Wever PC (2010) Lymphocytopenia and neutrophil-lymphocyte count ratio predict bacteremia better than conventional infection markers in an emergency care unit. Crit Care 14:R192. doi:10.1186/cc9309
7. Yeniyol CO, Suelozgen T, Arslan M, Ayder AR (2004) Fournier’s gangrene: experience with 25 patients and use of Fournier’s gangrene severity index score. Urology 64:218–222
8. Erol B, Tuncel A, Hanci V, Tokgoz H, Yildiz A, Akduman B, Kargi E, Mungan A (2010) Fournier’s gangrene: overview of prognostic factors and definition of new prognostic parameter. Urology 75:1193–1198. doi:10.1016/j.urology.2009.08.090
9. Sorensen MD, Krieger JN, Rivara FP, Broghammer JA, Klein MB, Mack CD, Wessells H (2009) Fournier’s gangrene: population based epidemiology and outcomes. J Urol 181:2120–2126. doi:10.1016/j.juro.2009.01.034
10. Benjelloun EB, Souiki T, Yakla N, Ousadden A, Mazaz K, Louchi A, Kanjaa N, Taleb KA (2013) Fournier’s gangrene: our experience with 50 patients and analysis of factors affecting mortality. World J Emerg Surg 8(1):13. doi:10.1186/1749-7922-8-13
11. Dahm P, Roland FH, Vaslef SN, Moon RE, Price DT, Georgiade GS, Vieweg J (2000) Outcome analysis in patients with primary necrotizing fasciitis of the male genitalia. Urology 56(1):31–35
12. Spirnak JP, Resnick MI, Hampel N, Persky L (1984) Fournier’s gangrene: a report of 20 patients. J Urol 131(2):289–291
13. Clayton MD, Fowler JE Jr, Sharifi R, Pearl RK (1990) Causes, presentation and survival of fifty-seven patients with necrotizing fasciitis of the male genitalia. Surg Gynecol Obstet 170(1):49–55
14. Nisbet AA, Thompson IM (2002) Impact of diabetes mellitus on the presentation and outcomes of Fournier’s gangrene. Urology 60:775–779
15. Yanar H, Taviloglu K, Ertekin C, Guloglu R, Zorba U, Cabioglu N, Baspinar I (2006) Fournier’s gangrene: risk factors and strategies for management. World J Surg 30:1750–1754
16. Morua AG, Lopez JA, Garcia JD, Montelongo RM, Guerra LS (2009) Fournier’s gangrene: our experience in 5 years, bibliography review and assessment of the Fournier’s gangrene severity index. Arch Esp Urol 62(7):532–540
17. Corcoran AT, Smaldone MC, Gibbons EP, Walsh TJ, Davies BJ (2008) Validation of the Fournier’s gangrene severity index in a large contemporary series. J Urol 180(3):944–948. doi:10.1016/j.juro.2008.05.021
18. Tuncel A, Aydin O, Tekdogan U, Nalcacioglu V, Capar Y, Atan A (2006) Fournier’s gangrene: three years of experience with 20 patients and validity of the Fournier’s Gangrene Severity Index Score. Eur Urol 50(4):838–843
19. Janane A, Hajji F, Ismail TO, Chafiqui J, Ghadouane M, Ameur A, Abbar M, Albouzidi A (2011) Hyperbaric oxygen therapy adjunctive to surgical debridement in management of Fournier’s gangrene: usefulness of a severity index score in predicting disease gravity and patient survival. Actas Urol Esp 35(6):332–338. doi:10.1016/j.acuro.2011.01.019
20. Roghmann F, von Bodman C, Löppenberg B, Hinkel A, Palisaar J, Noldus J (2012) Is there a need for the Fournier’s gangrene severity index? Comparison of scoring systems for outcome prediction in patients with Fournier’s gangrene. BJU Int 110(9):1359–1365. doi:10.1111/j.1464-410X.2012.11082.x
21. Backhaus M, Citak M, Tilkorn DJ, Meindl R, Schildhauer TA, Fehmer T (2011) Pressure sores significantly increase the risk of developing a Fournier’s gangrene in patients with spinal cord injury. Spinal Cord 49(11):1143–1146. doi:10.1038/sc.2011.75
22. Kahramanca S, Kaya O, Ozgehan G, Irem B, Dural I, Küçükpınar T, Kargıcı H (2014) Are neutrophil-lymphocyte ratio and platelet-lymphocyte ratio as effective as Fournier’s gangrene severity index for predicting the number of debridements in Fourner’s gangrene? Ulus Travma Acil Cerrahi Derg 20(2):107–112. doi:10.5505/tjtes.2014.62829