ReviewTherapeutic advances in infectious disease
Fournier's gangrene: a review of predictive scoring systems and practical guide for patient management.
Review in Therapeutic advances in infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Beyond Traditional Prognostic Scores: Associations of Organ Dysfunction and Metastatic Malignancy with Mortality in Fournier's Gangrene.Diseases (Basel, Switzerland) · 2026Article
- CONUT in Fournier's gangrene: clarifying incremental prognostic value and interpretation.World journal of urology · 2026Article
- Prediction of intensive care unit requirement and in-hospital mortality in Fournier's gangrene: a comparative analysis of conventional statistical and machine learning models.Updates in surgery · 2026Article
- Prognostic value of inflammatory and metabolic markers in Fournier's gangrene: a single-center retrospective analysis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Atypical Presentation of Fournier Gangrene as Syncope in a Patient With Chronic Alcohol Use Disorder: A Case Report.Cureus · 2026Article
- Prognostic value of the shock index in Fournier's gangrene: a retrospective cohort study comparing established mortality scoring systems.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Necrotizing Fasciitis in Northern Italy: Clinical Characteristics, Risk Factors, and Prognostic Value of the LRINEC Score-A Single-Center Retrospective Case Series.Infectious disease reports · 2026Article
- Article
- Missed Wooden Perineum Foreign Body Leading to Extensive Necrotizing Soft Tissue Infection: A Case Report.Clinical case reports · 2026Article
- Fournier's gangrene as initial presentation of rectal cancer.Journal of surgical case reports · 2025Article
- A Rare Case of Necrotizing Soft Tissue Infection in the Labium Resulting From Candida glabrata.Cureus · 2025Article
- The role of double-lumen irrigation-suction tube in the treatment of disseminated Fournier's gangrene: a single-center retrospective cohort study.Translational andrology and urology · 2025Article
- The Neutrophil-to-Lymphocyte Ratio as a Prognostic Biomarker of Fournier's Gangrene Severity: A Meta-Analysis.Infectious disease reports · 2025Review
- Fournier's Gangrene Mortality Index (FGMI): A New Scoring System for Predicting Fournier's Gangrene Mortality.Diagnostics (Basel, Switzerland) · 2024Article
- National Study of Fournier Gangrene in Spain (2016-2021): Gender/Sex Differences in Mortality and Risks.Medicina (Kaunas, Lithuania) · 2024Article
- Advancements in urinary tract infections: understanding, prevention, diagnosis, and treatment.Therapeutic advances in infectious diseaseArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article aims to provide a practical guide for patient management and an overview of the predictive scorings for Fournier's gangrene (FG) that are available to aid clinicians. 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's Gangrene Severity Index, Uludag Fournier's Gangrene Severity Index, and Simplified Fournier's 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.
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