Publication:

Mortality pattern of patients of typhoid perforation during the year 2001 to 2010 admitted in surgical wards of Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India

Background Typhoid perforation is a common surgical emergency. Despite advances in surgical techniques, antimicrobial therapy and intensive care support, management of typhoid perforation continues to be highly demanding difficult and complex. In majority of cases the presentation to the hospital is late with well-established generalized peritonitis with purulent/fecal contamination and varying degree of septicemia.

Methods Case records were collected from central registration section of Department of Surgery, particulars of patients was recorded from case sheet. Details of patient's complaints clinical findings, investigations, treatment, operation, complications and cause of death recorded on predesigned master chart and statistical tabulation done to analyze various mortality rates. Their findings were recorded in a proforma and master chart. The information obtained was tabulated and analyzed.

Results Total admission in surgical wards during study period was 56425, and total no. of deaths was 3676. Out of which 765 patients died of perforation peritonitis, among which 118 patients died of typhoid perforation peritonitis and it constituted 3.31% of total death, 15.42% of deaths due to perforation peritonitis.

Conclusions In our study most common cause of death was septicaemia.