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A literature was performed reviewing currently used scoring systems for FG and presenting a practical guide for its management based on the available evidence. There are four specific scoring systems available for the assessment of FG although few other non-specific and generic tools also exist. These specific tools include Laboratory Risk Indicator for Necrotizing Fasciitis, Fournier\u2019s Gangrene Severity Index, Uludag Fournier\u2019s Gangrene Severity Index, and Simplified Fournier\u2019s Gangrene Severity Index and help calculate expected mortality. Our proposed algorithm covers primary assessment, resuscitative interventions, initial investigations, urgent care, post-operative care, and long-term follow-up. The management of the FG patient can be divided into initial resuscitation, surgical debridement, ongoing ward management with antibiotic therapy, wound reconstruction, and long-term follow-up. Each facet of care is vital and requires multidisciplinary team expertise for optimal outcomes. Whilst mortality continues to improve, it remains significant, reflecting the severe and life-threatening nature of FG. More research is certainly needed into how this care is individualised, and to ensure that long-term outcomes in FG include quality of life measures after discharge.<\/jats:p>","DOI":"10.1177\/20499361241238521","type":"journal-article","created":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T01:57:37Z","timestamp":1710899857000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Fournier\u2019s gangrene: a review of predictive scoring systems and practical guide for patient management"],"prefix":"10.1177","volume":"11","author":[{"given":"Daniel","family":"Bowen","sequence":"first","affiliation":[{"name":"Department of Urology, Mid and South Essex NHS Foundation Trust, Broomfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7846-1470","authenticated-orcid":false,"given":"Thomas","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Urology, South Warwickshire University NHS Foundation Trust, Warwick, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Julieb\u00f8-Jones","sequence":"additional","affiliation":[{"name":"Department of Urology, Haukeland University Hospital, Bergen, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6248-6478","authenticated-orcid":false,"given":"Bhaskar","family":"Somani","sequence":"additional","affiliation":[{"name":"University Hospital Southampton NHS Foundation Trust, Southampton, SO16 6YD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,19]]},"reference":[{"key":"bibr1-20499361241238521","first-page":"984","volume":"31","author":"Fournier JA.","journal-title":"Sem Med 1883. 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