The Etiology, Clinical Presentation and Outcomes Associated With Peritonitis; At Mount Meru Regional Hospital.
Material type:
TextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O. Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tzLanguage: English Language: Kiswahili Publication details: Mwanza, Tanzania : Catholic University of Health and Allied Sciences [CUHAS - Bugando] : ©2018Description: viii; 45 Pages; Includes ReferencesSubject(s): Summary: Abstract:
Background: Despite a high prevalence of peritonitis reported in several African countries little is known about the presentation, causes, and outcome of peritonitis in the northern of Tanzania. Local environmental factors combined with genetic predispositions lead to marked variation in disease cause and presentation, and defining this can lead to improved local care and better overall understanding of the disease process.
Aim: To determine etiology, clinical presentation and outcomes associated with peritonitis at Mount Meru Regional Hospital.
Methods: The study was a descriptive cross sectional study designed to assess the etiology, clinical presentation and outcomes of peritonitis and included all patients with imaging and clinical evidence of peritonitis admitted and operated at Mount Meru hospital regardless of the gender of the patients. The minimum sample size required in this study was 73 Questionnaires were used to collect information.
Results: The most leading etiological factors of peritonitis as reported by study are ruptured PUD (13.70%), visceral injury (13.70%), appendicitis (6.85%), malignancy (6.85%) and sepsis (6.85%). The least etiological factors are adhesion (1.37%) enterocutaneous fistula (1.37%), ascites secondary to portal HTN and intestinal malignancy (1.37%). The most common of clinical outcome of peritonitis in this study are wound sepsis (41.1%), heal without complication (24.66%), dehiscence (9.59%) and complication to malignancy (4.1%). The least common outcomes are liver failure (1.37%), colostomy (1.37%), fistula formation (2.74%) and anemia (2.74%). Signs and symptoms that patients clinically presented with during this study, 70 (95.89%) respondents reported abdominal pain, fever and general body weakness.
Conclusion and recommendation: Premorbid illness and postoperative complications in this setting are associated with death and as the matter of fact proper screening on admission should be done to identify patients with premorbid illness and confer prompt management to prevent postoperative complications and subsequent death. Moreover, a study to explore the long-term outpatients with secondary peritonitis is recommended.
Keywords: Etiology, clinical presentation, outcome, peritonitis, Mount Meru Hospital.
| Item type | Current library | Collection | Status | Barcode | |
|---|---|---|---|---|---|
| UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 1 | UD0768 |
Abstract:
Background: Despite a high prevalence of peritonitis reported in several African countries little is known about the presentation, causes, and outcome of peritonitis in the northern of Tanzania. Local environmental factors combined with genetic predispositions lead to marked variation in disease cause and presentation, and defining this can lead to improved local care and better overall understanding of the disease process.
Aim: To determine etiology, clinical presentation and outcomes associated with peritonitis at Mount Meru Regional Hospital.
Methods: The study was a descriptive cross sectional study designed to assess the etiology, clinical presentation and outcomes of peritonitis and included all patients with imaging and clinical evidence of peritonitis admitted and operated at Mount Meru hospital regardless of the gender of the patients. The minimum sample size required in this study was 73 Questionnaires were used to collect information.
Results: The most leading etiological factors of peritonitis as reported by study are ruptured PUD (13.70%), visceral injury (13.70%), appendicitis (6.85%), malignancy (6.85%) and sepsis (6.85%). The least etiological factors are adhesion (1.37%) enterocutaneous fistula (1.37%), ascites secondary to portal HTN and intestinal malignancy (1.37%). The most common of clinical outcome of peritonitis in this study are wound sepsis (41.1%), heal without complication (24.66%), dehiscence (9.59%) and complication to malignancy (4.1%). The least common outcomes are liver failure (1.37%), colostomy (1.37%), fistula formation (2.74%) and anemia (2.74%). Signs and symptoms that patients clinically presented with during this study, 70 (95.89%) respondents reported abdominal pain, fever and general body weakness.
Conclusion and recommendation: Premorbid illness and postoperative complications in this setting are associated with death and as the matter of fact proper screening on admission should be done to identify patients with premorbid illness and confer prompt management to prevent postoperative complications and subsequent death. Moreover, a study to explore the long-term outpatients with secondary peritonitis is recommended.
Keywords: Etiology, clinical presentation, outcome, peritonitis, Mount Meru Hospital.
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