Clinical-Epidemiological Characterization of Secondary Peritonitis at the Provincial Pediatric Hospital of Matanzas. 2020-2023
Keywords:
peritonitis; secondary peritonitis; appendicitis; peritoneum; inflammationAbstract
Introduction: Secondary peritonitis appears less frequently in infants and children than in adults; it groups together a set of nosological entities whose common denominator is the inflammation of part or all of the peritoneum that covers the abdominal viscera.
Objective: To clinically and epidemiologically characterize secondary peritonitis at the Provincial Teaching Pediatric Hospital Eliseo Noel Caamaño, in Matanzas, in the period from January 2020 to December 2023.
Methods: A descriptive, prospective, non-experimental study was conducted. The universe consisted of 63 patients and the clinical history was the secondary source of information. Descriptive statistics were used, and data were presented in tables.
Results: The mean age of the patients was 15 to 19 years, and males predominated. 97% of those affected presented abdominal pain at the time of consultation. The main etiology of secondary peritonitis was acute perforated appendicitis (63.4%). 35% developed metabolic acidosis as the main complication. Three relaparotomies were performed, and the average hospital stay was 15 to 21 days.
Conclusions: Secondary peritonitis occurs mostly in male adolescents; its main cause is perforated acute appendicitis. Most patients presented with abdominal pain and the most common complication was metabolic acidosis. The average hospital stay was short.
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