Typhoid enteric perforation in north western Nigeria.
| Autor: | Edino ST; Department of Surgery, Bayero University Kano, Kano, Nigeria., Mohammed AZ, Uba AF, Sheshe AA, Anumah M, Ochicha O, Yakubu AA, Alhassan SU, Mamman M |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria [Niger J Med] 2004 Oct-Dec; Vol. 13 (4), pp. 345-9. |
| Abstrakt: | Background: Typhoid perforation is the most important surgical complication of typhoid enteritis and is associated with high morbidity and mortality. Aims and Objectives: To determine the pattern and outcome of management of typhoid perforation in Aminu Kano University Teaching Hospital, Kano. Method: A retrospective Analysis of patients treated for typhoid perforation over a 6-year period. Results: There were 47 patients: 35 males and 12 females, ratio 2.9 to 1. The patients were aged 4 years to 58 years (mean 18.9 years). Typhoid perforation occurred all the year round with a peak prevalence in September; Six (12.8%) patients perforated in the first week, 29 (61.7%) second week, and 12 (25.5%) third week, of illness. Single perforation was found in 91.5% of cases, and two to three perforations in 8.5%. Surgical treatment was by simple closure in 72.3%, wedge resection in 8.5%, ileal resection in 17.1% and right hemi-colectomy in 2.1%. Of the 41 survivors (87.2%), wound infection was the most common postoperative complication in 44.7% of cases. The mortality rate was 12.8% mostly due to overwhelming sepsis. Conclusion: Typhoid perforation requiring surgical intervention is still endemic in our subregion, and emphasis should be on preventive measures such as safe drinking water and appropriate sewage disposal, and typhoid vaccination. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|