Proceso atención de enfermería en paciente adulto con gangrena de Fournier.
| dc.contributor.advisor | Moran Calderón, José Adalverto | |
| dc.contributor.author | Cisneros Flores, Alison Gissel | |
| dc.date.accessioned | 2024-10-10T03:14:37Z | |
| dc.date.available | 2024-10-10T03:14:37Z | |
| dc.date.issued | 2024 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/17466 | |
| dc.description | Fournier's gangrene is considered an unusual, life-threatening surgical emergency, consisting of necrotizing fasciitis of the external genitalia, perineal and/or perianal region. It frequently comes from an infection in the anorectal region that progresses rapidly and has a mortality rate of up to 40%, even with indicated treatment. Treatment is based on one or more emergency surgical interventions with debridement of devitalized tissue and specific antibiotic therapy. It is an unusual and potentially lethal pathology. It has an incidence of 1/7500, and its frequency is higher in elderly patients. Its mortality is reported between 3 and 67% of cases. While some case series studies have found a mortality rate of 20-40%, a larger scale 2017 study reported a mortality rate of 7.5%. (Polo, 2018). The most frequently isolated microorganisms are those found in the perineum and external genitalia, which are aerobic and anaerobic bacteria that act synergistically causing tissue necrosis. The most reported bacteria is Escherichia coli since Fournier's Gangrene has an insidious evolution, in most cases it presents with scrotal or vulvar pain that generally does not correspond to the clinical findings, edema, cellulitis and may be accompanied by foul odor, crepitation and systemic symptoms such as hyperthermia, hypotension and tachycardia; Pruritus, pain, and general discomfort usually worsen three to five days before patients present to the hospital, progressing to blistering, ischemia, and necrotic lesions. | es_ES |
| dc.description | Fournier's gangrene is considered an unusual, life-threatening surgical emergency, consisting of necrotizing fasciitis of the external genitalia, perineal and/or perianal region. It frequently comes from an infection in the anorectal region that progresses rapidly and has a mortality rate of up to 40%, even with indicated treatment. Treatment is based on one or more emergency surgical interventions with debridement of devitalized tissue and specific antibiotic therapy. It is an unusual and potentially lethal pathology. It has an incidence of 1/7500, and its frequency is higher in elderly patients. Its mortality is reported between 3 and 67% of cases. While some case series studies have found a mortality rate of 20-40%, a larger scale 2017 study reported a mortality rate of 7.5%. (Polo, 2018). The most frequently isolated microorganisms are those found in the perineum and external genitalia, which are aerobic and anaerobic bacteria that act synergistically causing tissue necrosis. The most reported bacteria is Escherichia coli since Fournier's Gangrene has an insidious evolution, in most cases it presents with scrotal or vulvar pain that generally does not correspond to the clinical findings, edema, cellulitis and may be accompanied by foul odor, crepitation and systemic symptoms such as hyperthermia, hypotension and tachycardia; Pruritus, pain, and general discomfort usually worsen three to five days before patients present to the hospital, progressing to blistering, ischemia, and necrotic lesions. | es_ES |
| dc.description.abstract | La gangrena de Fournier se considera una emergencia quirúrgica inusual que pone en peligro la vida, consiste en una fascitis necrosante de los genitales externos, de la región perineal y/o perianal. Con frecuencia proviene de una infección en la región anorrectal que tiene una progresividad rápida y tiene una mortalidad de hasta 40%, incluso con un tratamiento indicado. El tratamiento se fundamenta en una o varias intervenciones quirúrgicas de urgencia con desbridamiento del tejido desvitalizado y antibioticoterapia específica. Es una patología inusual y potencialmente letal. Tiene una incidencia de 1/7500 y su frecuencia es mayor en pacientes de edad avanzada. Su mortalidad se reporta entre 3 y 67% de los casos. Mientras que algunos estudios de serie de casos han encontrado una tasa de mortalidad de 20-40%, un estudio en 2017 a mayor escala reportó una tasa de mortalidad de 7,5 %. (Polo, 2018). Los microorganismos más frecuentemente aislados son los que se encuentran en el periné y genitales externos, que son bacterias aerobias y anaerobias y que actúan de forma sinérgica causando necrosis del tejido. La bacteria más reportada es Escherichia coli ya que la Gangrena de Fournier tiene una evolución insidiosa, en la mayoría de los casos se presenta con dolor escrotal o vulvar que por lo general no corresponde con los hallazgos clínicos, edema, celulitis y puede ir acompañado de olor fétido, crepitación y de datos sistémicos como hipertermia, hipotensión y taquicardia; el prurito, dolor y malestar general usualmente empeoran de tres a cinco días antes de que los pacientes acudan al hospital, progresando a la formación de ampollas, isquemia y lesiones necróticas. | es_ES |
| dc.format.extent | 39 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2024 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Infección | es_ES |
| dc.subject | Mortalidad | es_ES |
| dc.subject | Polimicrobiana | es_ES |
| dc.subject | Bacterias | es_ES |
| dc.subject.other | Enfermería | es_ES |
| dc.title | Proceso atención de enfermería en paciente adulto con gangrena de Fournier. | es_ES |
| dc.type | bachelorThesis | es_ES |
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