Acute Generalized Peritonitis in Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo: Etiological, Therapeutic Aspects and Issues

• 作者: Christ Mayick Mpoy Emy Monkessa Gilbert Fabrice Otiobanda Gilles Niengo Outsouta Giresse Bienvenu Tsouassa Wa Ngono Marie Elombila Marina Aurole Bokoba-Nde Ngala Peggy Dahlia Gallou Leyono-Mawandza
• 来源期刊: 急诊医学(英文)
• 学科: 教育
• 关键词: Acute Generalized Peritonitis BRAZZAVILLE ETIOLOGIES Intensive Care Unit ISSUES
• 年，卷（期）: 2020,（4）
• 页码范围: 86-94
• 页数: 9页
• 分类号: G63

摘要

<b><span style="font-family:Verdana;">Aim: </span></b><span style="font-family:""><span style="font-family:Verdana;">To determine etiological, therapeutic aspects and issues of AGP in intensive care unit (ICU) at University Hospital of Brazzaville (UHB). </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">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. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">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 w</span></span><span style="font-family:Verdana;">ere</span><span style="font-family:Verdana;"> dominated by gastroduodenal perforating ulcer (41.9%) followed </span><span style="font-family:Verdana;">by </span><span style="font-family:""><span style="font-family:Verdana;">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 </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> 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%. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">In our study, the most frequent etiologies were gastrodu