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Effect of fungal infection on outcome in patient with perforation peritonitis

Author: 
Dr. C. Balamurugan and Dr. G. V. Manoharan
Subject Area: 
Health Sciences
Abstract: 

Introduction: The most common emergency admissions to surgical ward are patients with acute abdominal pain, out of which spontaneous hollow viscus perforation is the commonest. The role of proton pump inhibitors in peptic ulcer disease treatment is tremendous for past two decades and significantly reduces the incident of peptic ulcer perforation and their surgical intervention as well. The appendicitis followed by its perforation is the commonest surgical emergency in young individuals. And ilea perforation due to typhoid is also not uncommon. Aims and Objectives: To identify the common fungal micro-organisms responsible for peritonitis in hollow viscus performation. To identify influence of fungal infection in determining the outcome following surgery. Materials and Methods: All patients in whom a diagnosis of hollow viscous perforation is made are included in this study. The study will be done after patients’ informed consent. In all these patients peritoneal fluid will be collected during surgery and sent for microbiological analysis. Microbiological analysis includes fungal culture. And will be taken for analysis. Post operatively, mortality and morbidity of the patient will be co-related with culture reports. Results: Duodenal perforation is the most common (40 cases), followed by ileal (18 ceases) and appendicular (14 cases) perforations. Gastric perforation is least common hollow viscus perforation in this study (7 cases).Gastric, duodenal and ileal perforations are common in males, where as appendicular perforation is common among females.

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