Management Outcome of Typhoid Intestinal Perforation in Children in Bauchi North Eastern Nigeria

Author: 
Dr Kefas John Bwala, Dr Nasirudeen Oloko Lanre, Dr Kache Stephen Akawu, Dr Umar M Aminu, Dr Sani Adamu, Dr Stephen Yusuf, Prof Lofty-John Anyanwu, Aminu Mohammad

Background: Typhoid fever is a potentially lethal systemic illness and it continues to be a significant global health concern, particularly in resource-limited settings. Intestinal perforation is one of the deadliest complications of typhoid fever. It remains of public health importance in sub-Saharan Africa. Materials and Methods: We retrospectively analyzed the records of 168 children who were treated for typhoid intestinal perforation between January 2017 and December 2022. Data was collected from the files using the proforma prepared for this study. Obtained data was analyzed using SPSS version 25(SPSS Inc. Chicago IL), and results were presented using frequency tables and figures. Results: Males constituted 93(54.0%) of the patients while females were 75 (46.0%) M:F of 1.2:1.Majority of the patients 141 (84.0%) were operated on once while 5 (3.0%) were operated on three times. Furthermore, 68(40.5%) had wedge excision and repair while 36 (21.4%) had segmental ileal resection and anastomosis. The most common postoperative complication was superficial surgical site infection, which accounted for 16 (50.0%), enterocutaneous fistula developed in 4 (12.5%). Thirty five percent (35%) of patients spent between 11days to 20 days in the hospital following operation, 4 (2.5%) stayed up to 70 days. Mortality rate of 19.0% was recorded in this study. Conclusion: Typhoid intestinal perforation is still associated with high morbidity and mortality

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DOI: 
://dx.doi.org/10.24327/ijcar.2023.2648.1578
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