Acute Generalized Peritonitis in a Peripheral Hospital Centre in Benin: Can It Be Managed by a Local General Practitioner?

Tobome, Sêmêvo Romaric; Hodonou, Adrien Montcho; Wahide, Anifa; Boukari, Kadiri Alassan; Kponou, Moïse; Bankole, Christelle Hermione Elvire; Caronna, Roberto

doi:10.1155/2021/5543869

Cited by 3 publications

(2 citation statements)

References 9 publications

(8 reference statements)

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“… Tobome et al. (2021) conducted a retrospective study in a peripheral, referral hospital in Western Benin where a GP and two general surgeons treated patients with acute generalized peritonitis.…”

Section: Resultsmentioning

confidence: 99%

Assessing the impact of anaesthetic and surgical task-shifting globally: a systematic literature review

Bognini,

Oko,

Kebede

et al. 2023

Health Policy and Planning

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The global shortage of skilled anaesthesiologists, surgeons and obstetricians is a leading cause of high unmet surgical need. Although anaesthetic and surgical task-shifting are widely practiced to mitigate this barrier, little is known about their safety and efficacy. This systematic review seeks to highlight the existing evidence on the clinical outcomes of patients operated on by non-physicians or non-specialist physicians globally. Relevant articles were identified by searching four databases (MEDLINE, Embase, CINAHL, and Global Health) in all languages between 2008 and February 2022. Retrieved documents were screened against pre-specified inclusion and exclusion criteria and their qualities were appraised critically. Data were extracted by two independent reviewers and findings were synthesised narratively. In total, 40 studies have been included. Thirty-five focus on task-shifting for surgical and obstetric procedures, whereas four studies address anaesthetic task-shifting; one study covers both interventions. The majority are located in Sub-Saharan Africa and the United States. Seventy-five percent present perioperative mortality outcomes and 85% analyse morbidity measures. Evidence from low- and middle-income countries, which primarily concentrates on caesarean sections, hernia repairs, and surgical male circumcisions, points to the overall safety of non-surgeons. On the other hand, the literature on surgical task-shifting in high-income countries is limited to nine studies analysing tube thoracostomies, neurosurgical procedures, caesarean sections, male circumcisions, and basal cell carcinoma excisions. Finally, only five studies pertaining to anaesthetic task-shifting across all country settings answer the research question with conflicting results, making it difficult to draw conclusions on the quality of non-physician anaesthetic care. Overall, it appears that non-specialists can safely perform high-volume, low-complexity operations. Further research is needed to understand the implications of surgical task-shifting in high-income countries and to better assess the performance of non-specialist anaesthesia providers. Future studies must adopt randomised study designs and include long-term outcome measures to generate high quality evidence.

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Section: Resultsmentioning

confidence: 99%

Assessing the impact of anaesthetic and surgical task-shifting globally: a systematic literature review

Bognini,

Oko,

Kebede

et al. 2023

Health Policy and Planning

View full text Add to dashboard Cite

show abstract

“…En esta etapa existen grandes posibilidades de perforación intestinal manifiesta con empeoramiento de la distensión abdominal y aparición de peritonitis. (26) El diagnóstico de peritonitis en un paciente con fiebre preexistente se puede hacer fácilmente con un examen físico exhaustivo del abdomen. Sin embargo, la experticia del equipo médico tratante y el alto índice de sospecha pueden resultar de gran ayuda en un subconjunto de pacientes, particularmente en niños menores de 5 años, en quienes los signos peritoneales están enmascarados por sepsis abrumadora o inmunosupresión.…”

Section: Anamnesis Y Exploración Físicaunclassified

Fiebre Tifoidea

González Mora,

Medina Acosta,

Miranda Macías

et al. 2023

Afecciones Infrecuentes en La Práctica Quirúrgica

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La fiebre tifoidea es una infección humana sistémica poco común, causada por una bacteria del género de la Salmonella. Se transmite por vía fecal-oral. Clínicamente, se presenta mediante un espectro de severidad que abarca una variedad de síntomas y signos que incluyen fiebre, dolor abdominal, náuseas y vómitos, lo cual la diferencia de otras enfermedades febriles y gastrointestinales. El método de diagnóstico «estándar de oro» para la fiebre tifoidea es el cultivo de sangre, de médula ósea o de otro sitio normalmente estéril. La terapéutica médica con antibióticos constituye la primera y principal línea de tratamiento. Esta enfermedad puede dar lugar a complicaciones graves como son la perforación intestinal y la hemorragia gastrointestinal, las cuales a menudo son fatales, incluso si se manejan quirúrgicamente. La no detección precoz de esta afección se asocia con altos índices de morbimortalidad. Palabras clave: fiebre tifoidea, terapéutica médica, perforación intestinal, morbilidad, mortalidad Abstract Typhoid fever is a rare systemic human infection caused by a bacterium of the Salmonella genus. It is transmitted by the fecal-oral route. Clinically, it presents through a spectrum of severity encompassing a variety of symptoms and signs including fever, abdominal pain, nausea and vomiting, which differentiates it from other febrile and gastrointestinal illnesses. The "gold standard" diagnostic method for typhoid fever is culture of blood, bone marrow or other normally sterile site. Medical therapy with antibiotics is the first and main line of treatment. This disease can lead to serious AFECCIONES INFRECUENTES EN LA PRÁCTICA QUIRÚRGICA CAP. 3. FIEBRE TIFOIDEA

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Typhoid intestinal perforation in Francophone Africa, a scoping review

Sukri,

Banza,

Shafer

et al. 2024

PLOS Glob Public Health

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Typhoid intestinal perforation (TIP) is a leading cause of peritonitis and indication for emergency surgery in Africa, with reported mortality rates up to 30% in pediatric patients. Currently, data on TIP in Western databases are primarily from countries that speak English, likely due to non-English publication and citation biases. Despite the high burden of infectious diseases in Francophone Africa, data from these countries regarding TIP remain limited. This study aims to highlight the incidence and morbidity of TIP in Francophone African countries using an extended search algorithm. We conducted a scoping review using the PubMed, EMBASE, and SCOPUS databases with the keywords “peritonitis”, “non-traumatic ileal perforation”, and “typhoid” in Francophone African countries. Additionally, we contacted surgeons in Africa and concurrently used citation chasing to obtain data not found in western databases. In total, 32 studies from 12 countries were identified and included in this review. A total of 22 publications were in French. Patient median age was 20 years and TIP caused a median of 35% of acute peritonitis cases. Mortality rates ranged from 6–37% (median: 16%). Rate of complications ranged from 15–92% (median: 46%). Ileostomy creation as a treatment for TIP varied between hospitals (0–79%), with the highest rates reported in Niger. In Francophone Africa, TIP is associated with high morbidity and mortality, most commonly in children and young adults. Interventions, including improved sanitation and the introduction of typhoid conjugate vaccines into routine vaccination programs, have the potential to significantly decrease typhoid fever and its complications.

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Acute Generalized Peritonitis in a Peripheral Hospital Centre in Benin: Can It Be Managed by a Local General Practitioner?

Cited by 3 publications

References 9 publications

Assessing the impact of anaesthetic and surgical task-shifting globally: a systematic literature review

Assessing the impact of anaesthetic and surgical task-shifting globally: a systematic literature review

Fiebre Tifoidea

Typhoid intestinal perforation in Francophone Africa, a scoping review

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