000			03413nam a22003137a 4500
001			CUHAS/MD/4001122/T/13
003			CUHAS/MD/4001122/T/13
005			20240305193835.0
008			210806b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_bP. O. Box 1464, Mwanza – Tanzania:
028			_b Phone: +255 28 298 3384:
028			_bFax: +255 28 298 3386:
028			_bEmail: vc@bugando.ac.tz :
028			_b www.bugando.ac.tz
035			_aCUHAS/MD/4001122/T/13
040			_bEnglish _cDDC
041			_aEnglish
041			_aKiswahili
100			_a Sironga, Joseph. K _dCUHAS/MD/4001122/T/13 _920745
245			_aThe Etiology, Clinical Presentation and Outcomes Associated With Peritonitis; At Mount Meru Regional Hospital.
260			_aMwanza, Tanzania : _bCatholic University of Health and Allied Sciences [CUHAS - Bugando] : _c©2018
300			_a viii; 45 Pages
300			_aIncludes References
520			_aAbstract: 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.
600			_xSurgery
700			_a Giiti, Geofrey _920606
942			_2ddc _cCR
999			_c20811 _d20811