Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de Literatura
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/1414 |
Resumo: | This Fournier syndrome, known as Fournier Gangrene, is a serious polymicrobialinfection that mainly affects the perineum and genital region. The research, anintegrative review between 2020 and 2024, resulted in the analysis of 41 articles, ofwhich 6 were selected. The incidence is higher in men, with an increase after the age of50. The results point to several sources of technology, highlighting skin, urological andgastrointestinal. The pathophysiology involves endarteritis obliterans, ischemia andthrombosis, leading to necrosis. The progression of the disease is divided into fourphases, with the third phase characterized by general signs and severe infectioussyndrome, which can lead to septic shock. Treatment includes broad-spectrumantibiotics, surgical debridement and, in severe cases, superficial scrotal debridement.Hyperbaric oxygen therapy is considered an adjuvant, periodic at the request ofmicroorganisms and stimulating healing. It concludes by highlighting the urgency ofearly diagnosis and multidisciplinary treatment, given the rapid progression of necrosisand high rates of morbidity and mortality associated with Fournier syndrome. Theresearch contributes to clinical understanding and highlights the importance ofimproving knowledge for a correct diagnosis and improving treatment conditions. |
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Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de LiteraturaGangrena de FournierIndicação TerapêuticaFasciite NecrotizanteFournier's gangreneTherapeutic indicationNecrotizing FasciitisGangrena de FournierIndicación terapéuticaLa fascitis necrotizanteThis Fournier syndrome, known as Fournier Gangrene, is a serious polymicrobialinfection that mainly affects the perineum and genital region. The research, anintegrative review between 2020 and 2024, resulted in the analysis of 41 articles, ofwhich 6 were selected. The incidence is higher in men, with an increase after the age of50. The results point to several sources of technology, highlighting skin, urological andgastrointestinal. The pathophysiology involves endarteritis obliterans, ischemia andthrombosis, leading to necrosis. The progression of the disease is divided into fourphases, with the third phase characterized by general signs and severe infectioussyndrome, which can lead to septic shock. Treatment includes broad-spectrumantibiotics, surgical debridement and, in severe cases, superficial scrotal debridement.Hyperbaric oxygen therapy is considered an adjuvant, periodic at the request ofmicroorganisms and stimulating healing. It concludes by highlighting the urgency ofearly diagnosis and multidisciplinary treatment, given the rapid progression of necrosisand high rates of morbidity and mortality associated with Fournier syndrome. Theresearch contributes to clinical understanding and highlights the importance ofimproving knowledge for a correct diagnosis and improving treatment conditions.A síndrome de Fournier, conhecida como Gangrena de Fournier, é uma infecçãopolimicrobiana grave que afeta principalmente a região do períneo e genital. Apesquisa, uma revisão integrativa entre 2020 e 2024, resultou na análise de 41 artigos,dos quais foram selecionados 6. A incidência é maior em homens, com aumento apósos 50 anos. Os resultados apontam diversas fontes de infecção, destacando pele,urológicas e gastrointestinais. A fisiopatologia envolve endarterite obliterante,isquemia e trombose, levando à necrose. A progressão da doença é dividida em quatrofases, com a terceira fase caracterizada por sinais gerais e síndrome infecciosa grave,podendo levar ao choque séptico. O tratamento abrange antibióticos de amploespectro, desbridamentos cirúrgicos e, em casos graves, reconstrução escrotal. Aoxigenioterapia hiperbárica é considerada adjuvante, reduzindo a proliferação demicro-organismos e estimulando a cicatrização. Conclui-se ressaltando a urgência dodiagnóstico precoce e tratamento multidisciplinar, dado o rápido avanço da necrose ealtas taxas de morbimortalidade associadas à síndrome de Fournier. A pesquisacontribui para a compreensão clínica e destaca a importância de aprimorar oconhecimento para um diagnóstico correto e melhorar as condições de tratamento.Specialized Dentistry Group2024-02-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/141410.36557/2674-8169.2024v6n2p640-649Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 2 (2024): BJIHS QUALIS B3; 640-649Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 2 (2024): BJIHS QUALIS B3; 640-649Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 2 (2024): BJIHS QUALIS B3; 640-6492674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1414/1605Copyright (c) 2024 Caroline Matos Falcão de Andrade, Iana Carneiro Vieira, Leonardo Aguiar Muniz Feitosa, Marla Milena Siqueira Moura, Ranna Victoria Guimarães, Victor Souza Nobre, Yago Pontes Cavalcante , Iasmim Veras de Sousa, Ítalo Veras de Sousa, Luiz Davi Martins Pereira, Vitória Bezerra de Alencar, Yan Nascimento da Silva, Alexya Kelly Cavalcante Lima, Ana Beatriz Alcântara Coutinho, Emily Queiros Pinheiro, Lílian Aderaldo Motta, Matheus Moises Veras , Caio César Cavalcante Coutinho, Amanda Magalhães Xerez Silva, Davi Torquato de Araujo Gonçalves, Paula Villena Teixeira Santos Silva, Alexandre José Mont Alverne Silva Filho https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMatos Falcão de Andrade, CarolineCarneiro Vieira, Iana Aguiar Muniz Feitosa, LeonardoMilena Siqueira Moura, MarlaGuimarães, Ranna VictoriaSouza Nobre, VictorPontes Cavalcante , YagoVeras de Sousa, IasmimVeras de Sousa, ÍtaloMartins Pereira, Luiz DaviBezerra de Alencar, VitóriaNascimento da Silva, YanCavalcante Lima, Alexya KellyAlcântara Coutinho, Ana BeatrizQueiros Pinheiro, EmilyAderaldo Motta, LílianMoises Veras , MatheusCésar Cavalcante Coutinho, CaioMagalhães Xerez Silva, AmandaTorquato de Araujo Gonçalves, DaviVillena Teixeira Santos Silva, PaulaJosé Mont Alverne Silva Filho , Alexandre2024-02-07T12:11:39Zoai:ojs.bjihs.emnuvens.com.br:article/1414Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2024-02-07T12:11:39Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de Literatura |
title |
Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de Literatura |
spellingShingle |
Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de Literatura Matos Falcão de Andrade, Caroline Gangrena de Fournier Indicação Terapêutica Fasciite Necrotizante Fournier's gangrene Therapeutic indication Necrotizing Fasciitis Gangrena de Fournier Indicación terapéutica La fascitis necrotizante |
title_short |
Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de Literatura |
title_full |
Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de Literatura |
title_fullStr |
Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de Literatura |
title_full_unstemmed |
Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de Literatura |
title_sort |
Manejo Terapêutico do Paciente com Gangrena de Fournier: Revisão de Literatura |
author |
Matos Falcão de Andrade, Caroline |
author_facet |
Matos Falcão de Andrade, Caroline Carneiro Vieira, Iana Aguiar Muniz Feitosa, Leonardo Milena Siqueira Moura, Marla Guimarães, Ranna Victoria Souza Nobre, Victor Pontes Cavalcante , Yago Veras de Sousa, Iasmim Veras de Sousa, Ítalo Martins Pereira, Luiz Davi Bezerra de Alencar, Vitória Nascimento da Silva, Yan Cavalcante Lima, Alexya Kelly Alcântara Coutinho, Ana Beatriz Queiros Pinheiro, Emily Aderaldo Motta, Lílian Moises Veras , Matheus César Cavalcante Coutinho, Caio Magalhães Xerez Silva, Amanda Torquato de Araujo Gonçalves, Davi Villena Teixeira Santos Silva, Paula José Mont Alverne Silva Filho , Alexandre |
author_role |
author |
author2 |
Carneiro Vieira, Iana Aguiar Muniz Feitosa, Leonardo Milena Siqueira Moura, Marla Guimarães, Ranna Victoria Souza Nobre, Victor Pontes Cavalcante , Yago Veras de Sousa, Iasmim Veras de Sousa, Ítalo Martins Pereira, Luiz Davi Bezerra de Alencar, Vitória Nascimento da Silva, Yan Cavalcante Lima, Alexya Kelly Alcântara Coutinho, Ana Beatriz Queiros Pinheiro, Emily Aderaldo Motta, Lílian Moises Veras , Matheus César Cavalcante Coutinho, Caio Magalhães Xerez Silva, Amanda Torquato de Araujo Gonçalves, Davi Villena Teixeira Santos Silva, Paula José Mont Alverne Silva Filho , Alexandre |
author2_role |
author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Matos Falcão de Andrade, Caroline Carneiro Vieira, Iana Aguiar Muniz Feitosa, Leonardo Milena Siqueira Moura, Marla Guimarães, Ranna Victoria Souza Nobre, Victor Pontes Cavalcante , Yago Veras de Sousa, Iasmim Veras de Sousa, Ítalo Martins Pereira, Luiz Davi Bezerra de Alencar, Vitória Nascimento da Silva, Yan Cavalcante Lima, Alexya Kelly Alcântara Coutinho, Ana Beatriz Queiros Pinheiro, Emily Aderaldo Motta, Lílian Moises Veras , Matheus César Cavalcante Coutinho, Caio Magalhães Xerez Silva, Amanda Torquato de Araujo Gonçalves, Davi Villena Teixeira Santos Silva, Paula José Mont Alverne Silva Filho , Alexandre |
dc.subject.por.fl_str_mv |
Gangrena de Fournier Indicação Terapêutica Fasciite Necrotizante Fournier's gangrene Therapeutic indication Necrotizing Fasciitis Gangrena de Fournier Indicación terapéutica La fascitis necrotizante |
topic |
Gangrena de Fournier Indicação Terapêutica Fasciite Necrotizante Fournier's gangrene Therapeutic indication Necrotizing Fasciitis Gangrena de Fournier Indicación terapéutica La fascitis necrotizante |
description |
This Fournier syndrome, known as Fournier Gangrene, is a serious polymicrobialinfection that mainly affects the perineum and genital region. The research, anintegrative review between 2020 and 2024, resulted in the analysis of 41 articles, ofwhich 6 were selected. The incidence is higher in men, with an increase after the age of50. The results point to several sources of technology, highlighting skin, urological andgastrointestinal. The pathophysiology involves endarteritis obliterans, ischemia andthrombosis, leading to necrosis. The progression of the disease is divided into fourphases, with the third phase characterized by general signs and severe infectioussyndrome, which can lead to septic shock. Treatment includes broad-spectrumantibiotics, surgical debridement and, in severe cases, superficial scrotal debridement.Hyperbaric oxygen therapy is considered an adjuvant, periodic at the request ofmicroorganisms and stimulating healing. It concludes by highlighting the urgency ofearly diagnosis and multidisciplinary treatment, given the rapid progression of necrosisand high rates of morbidity and mortality associated with Fournier syndrome. Theresearch contributes to clinical understanding and highlights the importance ofimproving knowledge for a correct diagnosis and improving treatment conditions. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-02-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1414 10.36557/2674-8169.2024v6n2p640-649 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/1414 |
identifier_str_mv |
10.36557/2674-8169.2024v6n2p640-649 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1414/1605 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 2 (2024): BJIHS QUALIS B3; 640-649 Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 2 (2024): BJIHS QUALIS B3; 640-649 Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 2 (2024): BJIHS QUALIS B3; 640-649 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
_version_ |
1796798444360171520 |