Buradasınız

Anasayfa » Content

Whether culture positivity and Perforation-operation interval affects mortality in perforation peritonitis ? : Experiences of a Rural Medical College

Journal Name:

  • Indian Journal of Basic & Applied Medical Research

Publication Year:

  • 2015

Key Words:

Author NameUniversity of Author
Abstract (2. Language): 
Background & objectives : The endeavour was to study the microbial profile in a rural medical college hospital having a small gestational existence of eight years and to study the correlation of mortality to various organisms and perforation-operation interval (PO). Methods: Two hundred and seventy six cases of perforation peritonitis were studied in eight years for the microbial pattern isolated from peritoneal fluid during exploratory laparotomy. The presence or absence of organisms were compared to the mortality of patients. The relationship of mortality, to the PO interval was compared for any statistical significance. Results: Out of two hundred and seventy six cases 130 cases yielded positive culture and 146 yielded negative culture. The mortality rate in culture positive cases was 25.38 % whereas it was 4.1 % in culture negative cases. The mortality rate in culture positive patients presenting within 24 hours was 23.63% whereas the mortality rate in culture positive patients presenting more than 24 hours was 26.66%. Conclusions: PO interval and culture positivity of the peritoneal fluid has a direct bearing on mortality of patients with non traumatic perforation peritonitis. The mortality is more as PO interval increases as also the culture positivity of peritoneal fluid.
Bookmark/Search this post with
FULL TEXT (PDF): 
PDF icon arastirmax-whether-culture-positivity-and-perforation-operation-interval-affects-mortality-perforation-peritonitis-experiences-rural-medical-college.pdf
  • 2
105
110
  • English

REFERENCES

References: 

1) H van der Plas . Microbiological evaluation and antimicrobial treatment of complicated intra- abdominal
infections. South Afr J Epidemiol Infect 2012;27(2):53-57.
2) René G Holzheimer. Surgical Treatment: Evidence-Based and Problem-Oriented. http://reneholzheimer.
de/ Medical Faculty, Martin Luther University Halle-Wittenberg, Halle, Germany.
3) Ramakrishnaiah VPN, Chandrakasan C, Dharanipragadha K, Sistla S, Krishnamachari S.
Surgical Gastroenterology. DOI: http://dx.doi.org/10.7869/tg.2012.70.
4) Nathens AB. Relevance and utility of peritoneal cultures in patients with peritonitis.
Surg Infect (Larchmt). 2001 Summer;2(2):153-60; discussion 160-2.
5) Shrestha K, Paudel BR, Shah LL, Mukhia R, Dahal P, Haque MA, Maharjan SB, Choudhary J. Spectrum of
perforation peritonitis -260 cases experience. Postgraduate Medical Journal of NAMS. 2010, 10(2):29-32.
6) Afridi SP, Malik F, Rahman SU, Shamim S, Samo KA. Spectrum of perforation peritonitis
in Pakistan: 300 cases Eastern experience. World Journal of Emergency Surgery 2008, 3:31.
7) Prakash A, Sharma D, Saxena A, Somashekar U, Khare N, Mishra A, Anvikar A. Effect of Candida
infection on outcome in patients with perforation peritonitis. Indian J Gastroenterol. 2008 May-
Jun;27(3):107-9.
109
Indian Journal of Basic and Applied Medical Research; March 2015: Vol.-4, Issue- 2, P. 105-110
107
www.ijbamr.com P ISSN: 2250-284X , E ISSN : 2250-2858
8) Shinagawa N, Tanaka K, Mikamo H, Watanabe K, Takeyama H. et al Bacteria isolated from perforation
peritonitis and their antimicrobial susceptibilities. pn J Antibiot. 2007 Aug;60(4):206-20.
9) Gupta S , Kaushik R. Peritonitis – the Eastern experience. World Journ of Emerg Surgery
2006, 1:13

Thank you for copying data from http://www.arastirmax.com