Le Mali medical · 2013
[Typhoid peritonitis in children: Evaluation of morbi-mortality at the Gabriel Touré teaching hospital in Bamako].
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Coulibaly Y, Togo A, Keita M, Diakité A A, Dembélé B T, Diakité I, Kanté L, Traoré A, Coulibaly C A T, Doumbia A, Karembé B, Konaté M, Diallo G
Аннотация
AIMS: To determine related factors of complications typhoid perforations in the small intestine in children.
MATERIAL AND METHOD: A retrospective study was conducted between June 1st, 2005 to June 30th, 2010 in all children aged 0 to 14 years treated for peritonitis by ileal perforations in the service of paediatric surgery at the Gabriel Touré teaching hospital. Traumatic perforations and patients with incomplete files were not included in this study.
RESULTS: In 5 years time we gathered 105 cases of ileal typhoid perforation. After surgical treatment early outcomes were simple in 70 patients (66.6%), a parietal suppuration had been noted in 15 patients (14.3%) and fistula in 4 (3.9%). Sixteen patients (15.2%) died. Complications were related to patient's age, ASA Score, time frame of care, quantity of peritoneal fluid, number and site of perforation, surgical techniques and the duration of surgery P(<0.05). Sex, anaemia, surgeon, and perforation diameter did not significantly influence the rate of complications.
CONCLUSION: Reduction of morbi-mortality happens through prevention, earlier diagnosis and appropriate management of typhoid fever.
MATERIAL AND METHOD: A retrospective study was conducted between June 1st, 2005 to June 30th, 2010 in all children aged 0 to 14 years treated for peritonitis by ileal perforations in the service of paediatric surgery at the Gabriel Touré teaching hospital. Traumatic perforations and patients with incomplete files were not included in this study.
RESULTS: In 5 years time we gathered 105 cases of ileal typhoid perforation. After surgical treatment early outcomes were simple in 70 patients (66.6%), a parietal suppuration had been noted in 15 patients (14.3%) and fistula in 4 (3.9%). Sixteen patients (15.2%) died. Complications were related to patient's age, ASA Score, time frame of care, quantity of peritoneal fluid, number and site of perforation, surgical techniques and the duration of surgery P(<0.05). Sex, anaemia, surgeon, and perforation diameter did not significantly influence the rate of complications.
CONCLUSION: Reduction of morbi-mortality happens through prevention, earlier diagnosis and appropriate management of typhoid fever.