Fournier's gangrene

Emergency resuscitation: oxygen and IV fluids (0.9% sodium chloride or Ringer's lactate) guided by haemodynamics, urine output and electrolytes.

Urgent surgical debridement and wound care.

B: Ceftriaxone IV once daily – adults 1–2 g, children 50–80 mg/kg,

AND A: gentamicin IV/IM 5–7 mg/kg once daily (adults and children),

AND A: metronidazole IV every 8 hours – adults 500 mg, children 7.5 mg/kg.

Analgesia: paracetamol 10–15 mg/kg every 6 hours or ibuprofen 5–10 mg/kg every 8 hours.