Outcome of primary closure of abdominal wounds following typhoid perforation in children in Ile-Ife, Nigeria

Usang, Usang E; Sowande, OA; Ademuyiwa, Adesoji O; Bakare, T I B; Adejuyigbe, O

doi:10.4103/0189-6725.48573

Cited by 20 publications

(28 citation statements)

References 7 publications

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“…This formed the basis for the practice of delayed wound closure by some authors [29][30]. All the wounds in this study were however closed primarily with acceptable outcome because of the logistic challenges of performing delayed wound closure in our setting, in agreement with earlier studies [31][32].…”

Section: Discussionsupporting

confidence: 77%

Typhoid perforation in children: an unrelenting plague in developing countries

Usang

Inyang

Nwachukwku

et al. 2017

J Infect Dev Ctries

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Introduction: Despite global scientific development, typhoid fever and subsequent typhoid perforation have continued to be common in developing countries. The aim of this study was to re-evaluate the pattern of presentation and management outcomes as well as morbidity and mortality of typhoid perforation among children. Methodology: Children aged 15 years and under with clinical diagnosis of typhoid perforation were retrospectively studied by reviewing their hospital records between January 2006 and December 2015. Demographic and clinical data were analyzed with SPSS using descriptive statistics and the chi-squared test or Cramer's V for continuous and categorical variables respectively. Results: 105 children had typhoid fever, 56 (53.3%) of them were diagnosed with typhoid perforation and 49 were confirmed intra-operatively. Of the children, 55.1% (n = 27) were school-aged while the remaining were adolescents; a majority had the classical triad of persistent fever (100%), abdominal pain (100%) and abdominal swelling (93.9%). Anaemia and hypokalaemia were common. The mean time duration for resuscitation was 16 hours (range 6-36 hours). Most perforations were single (n=36, 73.5%). There were more perforations in the school-aged than adolescent children (p = 0.845; V = 0.298). Wound infection (34.7%) was the most frequent morbidity but faecal fistula (10.2%) was most troublesome to manage. Death followed severe sepsis and chest infections in four children (8.2%). Conclusion: Typhoid perforation continues to cause morbidity and mortality in children in developing countries. To stem this endemic disease, community health education and improved living conditions are required.

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Section: Discussionsupporting

confidence: 77%

Typhoid perforation in children: an unrelenting plague in developing countries

Usang

Inyang

Nwachukwku

et al. 2017

J Infect Dev Ctries

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“…In contrast to our study, Usang et al 5 20 has also concluded significantly less incidence of SSI after DPC for complicated appendicitis.…”

Section: Discussioncontrasting

confidence: 55%

“…Recent studies performed on dirty abdominal wound closure methods showed no advantage of DPC in terms of decreased wound infection compared with PC. 5 While some studies associate DPC with lower rates of SSI (42.5 % in primary closure vs 2.7% in delayed primary closure) 3 , some show that PC has low SSI rates (9.1% in PC group vs 27.3% in DPC group).…”

Section: Inroductionmentioning

confidence: 99%

“…The abdominal wounds following surgery of a perforated viscus are classified as dirty wounds [1][2][3][4][5][6] , since these wounds are heavily contaminated by the faeculant material and peritoneal exudates, so risk of developing surgical site infection (SSI) is very high with these wounds. [1][2][3][7][8][9] There are many risk factors influencing postoperative wound infections, the method of skin closure is an important factor amongst them.…”

Section: Inroductionmentioning

confidence: 99%

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Surgical Site Infection; Comparison of Frequency After Primary and Delayed Primary Closure in Dirty Abdominal Wounds.

Hussain¹

2017

TPMJ

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, Irum Saleem 5ABSTRACT… Objectives: To compare the frequency of surgical site infection after primary and delayed primary wound closure in dirty abdominal wounds. Study Design: Randomized controlled trial. Duration and Setting: This study was carried out over a period of six months from 07-02-2014 to 06-08-2014 in the department of surgery combined military hospital Quetta. Methodology: A total of 190 patients were included in this study. wound was observed for development of surgical site infection post operatively within seven days by the assigned investigator who was unaware of the wound study design. surgical site infection was assessed using Southampton wound grading. Results: Mean age of the patients was 30.89±10.38 and 32.74±9.52 in group A and B, respectively. in group-A, 73 patients (76.8%) and in group-B 66 patients (69.5%) were male while 22 patients (23.2%) of group-A and 29 patients (30.5%) in group-B were female.in group-A surgical site infection was observed in 29 patients (30.5%) and in group-B 12 patients (12.6%) were having surgical site infection. statistically significant difference was found between two groups (p=0.003). Conclusion: The frequency of surgical site infection was significantly lower after delayed primary closure of dirty wounds as compared to primary closure.

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Section: Inroductionmentioning

confidence: 99%

Untitled

2017

TPMJ

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ABSTRACT… Objectives:To compare the frequency of surgical site infection after primary and delayed primary wound closure in dirty abdominal wounds. Study Design: Randomized controlled trial. Duration and Setting: This study was carried out over a period of six months from 07-02-2014 to 06-08-2014 in the department of surgery combined military hospital Quetta. Methodology: A total of 190 patients were included in this study. wound was observed for development of surgical site infection post operatively within seven days by the assigned investigator who was unaware of the wound study design. surgical site infection was assessed using Southampton wound grading. Results: Mean age of the patients was 30.89±10.38 and 32.74±9.52 in group A and B, respectively. in group-A, 73 patients (76.8%) and in group-B 66 patients (69.5%) were male while 22 patients (23.2%) of group-A and 29 patients (30.5%) in group-B were female.in group-A surgical site infection was observed in 29 patients (30.5%) and in group-B 12 patients (12.6%) were having surgical site infection. statistically significant difference was found between two groups (p=0.003). Conclusion: The frequency of surgical site infection was significantly lower after delayed primary closure of dirty wounds as compared to primary closure.

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Outcome of primary closure of abdominal wounds following typhoid perforation in children in Ile-Ife, Nigeria

Abstract: Abdominal wounds of typhoid perforation, though classified as being dirty, can be closed primarily with good healing outcomes. A multidisciplinary approach to wound management will reduce the incidence of wound sepsis and its associated morbidity and costs.

Cited by 20 publications

References 7 publications

Typhoid perforation in children: an unrelenting plague in developing countries

Typhoid perforation in children: an unrelenting plague in developing countries

Surgical Site Infection; Comparison of Frequency After Primary and Delayed Primary Closure in Dirty Abdominal Wounds.

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