{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:08:33Z","timestamp":1792426113137,"version":"4.5.0"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Fournier\u2019s gangrene is a rapidly progressive necrotizing fasciitis, involving perineum mainly. The purpose of the study is to evaluate etiology, treatment, and outcome of Fournier\u2019s gangrene so that such type patient\u2019s management can be done by primary care physicians with best outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>This was a retrospective study including 156 patients, treated for Fournier\u2019s gangrene, between Jan 2012 and Dec 2018. The outcome and prognosis of Fournier\u2019s gangrene were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>\n                      The mean age and mode among survival patients were 47.94 \u00b1 14.9 and 60 years, and the mean age and mode in nonsurvival patients was 47.64 \u00b1 15.9 and 65 years. The most common predisposing factor was diabetes mellitus (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 49, 31.4%) having mortality rate was 9% (n = 14). Most common causative bacteria were\n                      <jats:italic toggle=\"yes\">E. coli<\/jats:italic>\n                      . In the study, the survival rate was 100% in patients having Fournier Gangrene Severity Index (FGSI)\u22643. As FGSI increased from 3, the mortality rate increased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Fournier gangrene is a surgical emergency. Early diagnosis, serial surgical debridement, and broad-spectrum antibiotics decrease the mortality and morbidity of patients. The sensitivity and specificity of FGSI determine the prognosis of Fournier\u2019s gangrene. FGSI is a simple method to know the severity and prognosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_1830_23","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T02:05:02Z","timestamp":1721959502000},"page":"2941-2945","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Outcome of Fournier\u2019s gangrene in relation to Fournier Gangrene Severity Index (FGSI) score"],"prefix":"10.4103","volume":"13","author":[{"given":"Meghraj","family":"Kundan","sequence":"first","affiliation":[{"name":"Professor, Department of Surgery, VMMC and Safdarjung Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivlok N","family":"Ambedkar","sequence":"additional","affiliation":[{"name":"Assosiate Professor, Department of Medicine, VMMC and Safdarjung Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rambharosh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Surgery, GTB and UCMS Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vekhotso","family":"Nyekha","sequence":"additional","affiliation":[{"name":"PG Resident, Department of Surgery, VMMC and Safdarjung Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,26]]},"reference":[{"key":"R1-20240828","first-page":"984","article-title":"Jean-Alfred Fournier 1832-1914. 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