MOST COMMON BACTERIA AS CAUSATIVE AGENTS OF FOURNIER'S GANGRENE
DOI:
https://doi.org/10.15547/tjs.2026.01.007Keywords:
Enterococci, staphylococci, streptococci, Gram-positive bacteria, Gram-negative bacteriaAbstract
PURPOSE: Fournier's gangrene is a form of necrotizing fasciitis, whose main treatment is surgery, followed by adequate antibiotic therapy. In the present study, we have investigated the most common bacteria acting as causative agents of Fournier's gangrene. We have also attempted to determine their antibiotic sensitivity. METHOD: The object of the study are 17 patients with Fournier's gangrene, treated in the Clinic of Urology of St. Anna Multiprofile Hospital for Active Treatment in Varna from 2021 to 2023. RESULTS: Gram-negative bacteria were found in 13 cases, and Gram-positive bacteria in 15 cases. Gram-negative bacteria showed good sensitivity to aminopenicillins, third-generation cephalosporins, carbapenems, fluoroquinolones and aminoglycosides, with the exception of Acinetobacter and Pseudomonas. All Gram-positive bacteria were sensitive to vancomycin. CONCLUSIONS: In the empiric initial choice of antibiotic, it is appropriate to take into account the high frequency of Gram-positive bacteria, mainly susceptible to vancomycin.
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