Surgical treatment of peritonitis due to typhoid fever in a Hospital in Mozambique
Keywords:
TYPHOID FEVER, PERITONITIS, SUTURESAbstract
Background: Typhoid fever is a cause of peritonitis by perforation of the intestinal loops and provokes the death of many people; therefore it constitutes a health problem in Mozambique.Objective: To describe the patients operated on, with the diagnosis of peritonitis resulting from typhoid fever, at the surgery department of the Provincial Hospital in Quelimane, Zambezia Province, Mozambique, from November 1, 2011 to April 30, 2012.
Methods: A descriptive study of the patients operated on with the diagnosis of peritonitis resulting from typhoid fever, at the hospital and period herein mentioned, was performed. The study population consisted of 96 patients who were operated on. The variables that were measured were: age, sex, onset of symptoms, total perforations, performed surgical treatment and complications.
Results: Male patients of the 25 to 50 age group prevailed; most of them visited the service after 72 hours of the onset of symptoms; in 66 patients only one perforation was found and the surgical procedure mostly used was the suture of the perforation and the washout of the abdominal cavity.
Conclusions: Most of the patients visited the service 72 hours after the onset of symptoms; they underwent surgery; and wound infection was the most frequent complication.
Downloads
References
Arya S, Agarwal N. Host factors and typhoid fever-associated intestinal perforation in children in Nigeria. Pediatric Surgery International [revista en internet]. 2012, Jul [citado 15 de septiembre 2015]; 28(7): 753. Disponible en: MEDLINE Complete.
Pitombo Bettini M, Faria Abreu dos Santos Albuquerque, Bernardo Camargo L, Steinbruck K, Bernardo Filho M. Dissemination of bacteria labeled with technetium-99m after laparotomy and abdominal insufflation with different CO2 pressures on rats. Acta Cir. Bras. [revista en internet]. 2008, Feb [citado 15 de septiembre 2015]; 23(1): 48-54. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502008000100009&lng=es.
Pacheco A, Barrera JC, Mederos ON, Pacheco EA, Valdés J, Cheng K. Experiencias con el lavado peritoneal programado en las peritonitis difusas. Rev Cubana Cir [revista en internet]. 2005 [citado 15 de septiembre 2015]; 44(2-3). Disponible en: http://scielo.sld.cu/pdf/cir/v44n2-3/cir06205.pdf.
Crump J. Typhoid Fever and the challenge of nonmalaria febrile illness in sub-saharan Africa. Clinical Infectious Diseases: An Official Publication Of The Infectious Diseases Society Of America [revista en internet]. 2012, abril [citado 15 de septiembre 2015]; 54(8): 1107-1109. Disponible en: http://cid.oxfordjournals.org/content/early/2012/02/21/cid.cis024.full.
González Aguilera JC, Jiménez Paneque RE. Predicción de la mortalidad de la peritonitis difusa secundaria con varios índices pronósticos. Med Intensiva [revista en internet]. 2008 [citado 15 de septiembre 2015]; 25(1): 6-13. Disponible en: http://pesquisa.bvsalud.org/portal/resource/es/lil508454.
Neil K, Sodha S, Lukwago L, O-Tipo S, Mikoleit M, Mintz E, et al. A large outbreak of typhoid fever associated with a high rate of intestinal perforation in Kasese District, Uganda, 2008-2009. Clinical Infectious Diseases: An Official Publication Of The Infectious Diseases Society Of America [revista en internet]. 2012, abril [citado 15 de septiembre 2015]; 54(8): 1091-1099. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22357703.
Castañón González JA, Canto Castro JL, León Gutiérrez MA. Peritonitis terciaria. CirCiruj [revista en internet]. 2006 [citado 15 de septiembre 2015]; 74(6): 407-8. Disponible en: http://www.redalyc.org/pdf/662/66274601.pdf.
Ukwenya A, Ahmed A, Garba E. Progress in management of typhoid perforation. Annals Of African Medicine [revista en internet]. 2011, oct [citado 15 de septiembre 2015]; 10(4): 259-265. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22064250.
Bali R, Verma S, Agarwal P, Singh R, Talwar N. Perforation peritonitis and the developing world. ISRN Surgery [revista en internet]. 2014, abril [citado 15 de septiembre 2015]; 2014105492. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/25006512.
Jarry J, Tine I, Ogougbemy M, Diouf M. Image of the month--quiz case. Typhoid intestinal perforation. Archives Of Surgery (Chicago, Ill.: 1960) [revista en internet]. 2011, Agos [citado 15 de septiembre 2015]; 146(8): 987-988. Disponible en: MEDLINE.
Abdulrasheed A N, Lukman O, Abdur-Rahman J, Adeniran O. Is intraabdominal drainage necessary after laparotomy for typhoid intestinal perforation? Journal of Pediatric Surgery [revista en internet]. 2012 [citado 15 de septiembre 2015]; 47(2): 355–358. Disponible en: http://www.jpedsurg.org/article/S0022-3468(11)01013-X/abstract.
Rodríguez Ramírez R. Causas, tratamiento y complicaciones de la peritonitis difusa en un hospital de la periferia de Luanda. MEDISAN [revista en internet]. 2010 [citado 15 de septiembre 2015]; 14(8):1076. Disponible en: http://bvs.sld.cu/revistas/san/vol_14_8_10/san05810.pdf.
Published
How to Cite
Issue
Section
License
This journal provides free and immediate access to its content under the principle that making research freely available to the public supports a greater exchange of global knowledge. This means that the authors transfer the copyright to the journal, so that copies and distribution of the contents can be made by any means, as long as the authors' acknowledgment is maintained. These terms are a reflection that the journal assumes copyright under Creative Commons licenses, specifically under a Creative Commons Attribution 4.0 International license.
Registration and submission of articles to the journal is free. The processing, including review, editing and publication, is completely free of charge.