Acute Generalized Peritonitis in Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo: Etiological, Therapeutic Aspects and Issues
Aim: To
determine etiological, therapeutic aspects and issues of AGP in intensive care
unit (ICU) at University Hospital of Brazzaville (UHB). Materials and Methods: 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. Results: 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 were dominated by gastroduodenal perforating ulcer (41.9%) followed by 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 i.e. 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%. Conclusion: In our study, the most frequent etiologies were gastroduodenal perforating
ulcer and complicated appendicitis. They affected young patients. The
complications were dominated by parietal suppurations. The mortality rate was
high.
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