TITLE:
The Epidemiological Profile of Acute Peritonitis and Sensitivity to Antibiotics, about 167 Cases, in the General Surgery Department of the Amissa Bongo Regional Hospital Center in Franceville, Gabon
AUTHORS:
Silvère Ngakani Offobo, Hilaire Nyamatsiengui, Louis Clément Obame, Kundulunga Jean Albert Aseke, François Ondo N’Dong
KEYWORDS:
Peritonitis, Etiologies, Laparotomy, Germs, Susceptibility Antibiotics
JOURNAL NAME:
Surgical Science,
Vol.13 No.6,
June
30,
2022
ABSTRACT: The
objective of this study is to determine the epidemiological, clinical,
paraclinical, therapeutic aspects, and the sensitivity to antibiotics for acute peritonitis at CHRAB Franceville. This was a prospective,
descriptive and analytical study, between September 2015 and December 2021.
Generalized acute peritonitis was one of the digestive surgical emergencies.
There were 167 patients operated on for acute peritonitis, including 116 men
(69.46%) and 51 women (30.34%). The majority of patients came from Franceville
(n = 62) 37.12%. The average age was 33.4 years (extreme 4 years and 75
years). The admission time was on average +6.15 or -6.54 hours. The main etiology was acute
appendicitis with (n = 122) 73.05%, followed by gastric perforations (n = 26) 15.56%, bowel perforations (n = 5) 2.99%. Some post-surgical
cases (n = 4) 2.39%. Biological examinations found: hyperleukocytosis in 64.67%
of cases, anemia in 52.9% of cases, and hematocrit down in 28.3% of cases. Ultrasounds found 17.36% peritoneal
effusions and 12.57% acute appendicitis. The abdomen without preparation revealed 13.17%
cases of pneumoperitoneum. Anatomy pathology found acute appendicitis,
gastroduodenal ulcers, peritoneal tuberculosis, and peritoneal carcinomatosis. Biliary drainage choledotomy with Kher drain,
supernumerary spleen splenectomy, hysterectomy. The average duration in
intensive care was 6.5 days with extremes of 5 to 10 days. The average stay in
inpatient surgery was 10.8 days. Isolated or combined antibiotic therapy was
the rule. Postoperative follow-up at 1 month was systematic. Parietal
suppuration was the main complication. We had recorded 2 cases of fistula and
4.19% of deaths.