Abstract
Aim: To determine etiological, therapeutic aspects and issues of AGP in intensive care unit (ICU) at University Hospital of Brazzaville (UHB). Materials and Methods: It was a retrospective and descriptive study carried out from January to December 2016 in ICU at UHB. We collected completed medical records of patients admitted and operated for AGP regardless of age or sex. The parameters studied were age, sex, admission’s reasons, etiologies, management, post-operative complications, length of hospital and mortality. Data were treated in Excel 2010 and Epi info 2007. Results: Thirty-one complete medical records were identified (mean age: 40.6 ± 22.0 years). The sex ratio was 2.4. Shock was the most common reason for admission with 67.7% of the cases. The etiologies of AGP were dominated by gastroduodenal perforating ulcer (41.9%) followed by complicated appendicitis (19.4%). The management of all patients was medico-surgical. The bi antibiotic ceftriaxone-metronidazole was administered in 29 patients (93.6%). 18 patients (59.1%) received vasopressor therapy. The complications had occurred among 9 patients i.e. 29% of the cases; parietal suppurations represented 44.5% of the complications. The average length of hospitalization was 5.2 ± 4.6 days. The overall mortality was 41.9%. Conclusion: In our study, the most frequent etiologies were gastroduodenal perforating ulcer and complicated appendicitis. They affected young patients. The complications were dominated by parietal suppurations. The mortality rate was high.
Highlights
Acute generalized peritonitis (AGP) is defined as acute and diffuse inflammation of the peritoneal serous membrane
The data was collected from the operating room register, the intensive care unit (ICU) admissions register and medical records written by the medical team and archived by supervisors
Peritonitis by gastroduodenal perforation was found in 13 patients (41.9%) and appendicular peritonitis in six patients (19.3%)
Summary
Acute generalized peritonitis (AGP) is defined as acute and diffuse inflammation of the peritoneal serous membrane. They constitute one of the most frequent abdominal surgical emergencies and one of the leading causes of septic shock, involving, in the short term, the vital prognosis of the patient [1] [2]. They are classified into three types: primary or primitive, secondary and tertiary. With regard to AGP requiring intensive care, the data are relatively absent, justifying this study
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