Peritonitis in children: our experience in Benin City, Nigeria

Surgical Infections
Osarumwense D Osifo, Scott O Ogiemwonyi

Abstract

Peritonitis is a surgical emergency of variable etiology with a high mortality rate, particularly in children. This paper reports our experience with the epidemiology and outcome of management of childhood peritonitis in an African setting. Consecutive children with peritonitis managed over six years (2004-2009) at the University of Benin Teaching Hospital, Nigeria, were included in this prospective experience after approval by the local Ethics Committee. Of the 721 children aged between one day and 18 years (mean 5 ± 4.2 years), comprising 415 males and 306 females (male/female ratio 1.4:1) who were managed for gastrointestinal disease, 182 (25.2%) developed peritonitis, 179 (98.4%) preoperatively and three (1.6%) postoperatively. Secondary bacterial peritonitis most often followed complicated appendicitis (120; 65.9%), intussusception (13; 7.1%), volvulus (5; 2.7%), and intestinal atresia (4; 2.2%). Peritonitis was generalized in all children younger than 11 years but less so after that age, and the outcome was poorest in neonatal infants, who accounted for 14 (63.6%) of the 18 peritonitis-related deaths (p < 0.0001). All the children had thorough peritoneal irrigation and lavage that included the insertion of drains in cases...Continue Reading

References

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Citations

Mar 15, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Adewale O AdisaOladejo O Lawal
Apr 6, 2012·Seminars in Pediatric Surgery·Emmanuel A AmehDoreen Birabwa-Male
Apr 14, 2016·World Journal of Emergency Surgery : WJES·Alain Chichom-MefireMarcelin Ngowe-Ngowe
Oct 8, 2016·Surgery·Leonard NdayizeyeJennifer Rickard
Nov 17, 2017·World Journal of Surgery·J L RickardR Riviello
May 27, 2020·Surgical Infections·Justina Onyioza Seyi-OlajideEmmanuel Adoyi Ameh
Jan 12, 2021·Case Reports in Critical Care·Ashish Lal ShresthaPankaj Bahadur Nepali

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Methods Mentioned

BETA
lavage

Software Mentioned

SPSS

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