A descriptive observational study of assessment of severity of peritonitis using Mannheim Peritonitis Index.

Autor: Sultane, Pramod Ganesh, hombalkar, Priya Narendra, Hombalkar, Narendra N., Waghmare, Ninad
Předmět:
Zdroj: Indian Journal of Basic & Applied Medical Research; Mar2023, Vol. 12 Issue 2, p291-300, 10p
Abstrakt: Introduction: Inflammation of the peritoneum caused on by specific or widespread infections is known as peritoneitis. One of the most typical infections and a major problem that a surgeon deals with is peritonitis. Material and methods: Total of 65 patients with peritonitis due to hollow viscous perforation who presented to Government Medical college, Miraj from 1st January 2021 to 31st July 2022. Results: 66.66% of patients with > 29 had some form of pulmonary complication, which was only about 13.33% in patients with score < 21(Table 8). The pulmonary complication in the form of post operative pneumonia, atelectasis, which required continuous monitoring of oxygen saturation, nebulization, higher antibiotics, analgesics and hence lead to longer post operative recovery were significantly higher as the score increased. Conclusion: A scoring system to estimate the risk of morbidity and mortality following emergency surgery has been tried on numerous occasions. Some scoring systems offer a prognosis that comes close to the reported mortality rate for the cohort, but none are reliable enough to rely on when taking into account a specific patient. We can gauge the likelihood that patients will survive by assessing the severity of the illness early on utilising MPI. Death rate in the current study was zero for MPI scores under 21, zero for MPI scores between 21 and 29, and fifty percent for MPI scores over 29, which is helpful in pre-operative prognostication of patients based on MPI values. When forecasting the course of peritonitis, MPI is an easy-to-use and reliable approach. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index