Prise En Charge Des Péritonites Aiguës Dans Un Hôpital De District En Afrique Sub-saharienne : Cas Du Bénin

Introduction: Peritonitis remains a public health problem in Africa. We aim to describe the epidemiological, etiological and therapeutic aspects of acute peritonitis in a district hospital in Sub Saharan Africa. Methods: This was a descriptive study with prospective data collection over a period of 15 months from May 1 st 2015 to July 31st 2016 in Bembereke district hospital. It has taken into account all the patients managed in the general surgery department for acute generalized peritonitis that has been confirmed at laparotomy. Results: Fifty-three patients, 38 men (71.7 %) and 15 women (28.3 %) had been registered. The average age of the patients was 19.8 ± 16.9 years. The main etiologies were: non-traumatic ileal perforation from typhoid infection 52.8%; perforated gastric or duodenal ulcer 17%; complicated appendicitis and abdominal traumas 11.3% each one. Twenty nine patients (54.7%) have been operated by a surgeon and the 24 remaining (45.3%) by a general practitioner with surgical skills. Twenty one patients (39.6%) had postoperative complications of which 11 cases of parietal suppurations (52.4%). The mortality rate was 11.3%. The mean hospital stay was 22.5 ± 4 days. Conclusion: In northern-Benin, peritonitis remains dominated by the complications of typhoid fever. The mortality rate remains high. Prevention requires good hygiene and awareness of early consultations

Kyste De L’ouraque Infecte : A Propos De Trois Cas Cliniques Au Chu De Parakou Au Benin

Bacground: The urachus is a fibrous remnant of the allantois. That connects the bladder dome to the anterior abdominal wall. After birth it is obliterated in general. In some cases it may persist as cyst , fistula , sinus or diverticulum. This persistence of the urachus often is signaled by a complication. Infection is the most common complication and the most dangerous is his degeneration. The infection can be misunderstood and confused with other pathologies of the navel. Methods: Our study reports three clinical cases of infected urachal cyst. Result: these report cases illustrate the need to think of this diagnosis before the painful of the navel and abdomen. The ultrasound examination can help for the diagnosis

Aspects Bacteriologiques Des Infections Du Site Operatoire Au Centre Hospitalier Departemental Du Borgou A Parakou (Benin)

Objective : Describe the bacteriological aspects of surgical site infections (SSI) at the regional hospital centre Borgou. Methods : From a descriptive, prospective study from february 2013 to july 2014, about 603 patients operated during the recrutment period(six mounths), the bacteriological data of 44 cases of SSI diagnosed according to the criteria CDC/NHSN have been analysed. Results : The frequency of SSI was 7.3% of the operated (44/603). The superficial incisional infections were 6, the deep infections were 34 and the organ infections or infections of space were 4. The sampling culture of the liquid was negative with 12 cases (27.3%) and positive with 32 cases (72.7%). Two germs were isolated in two cases. The negative Gram germs were the most isolated with 22 cases (64.7%) of Escherichia coli. The multiresistance was noted with 14 cases out of 34 (41.2%). Conclusion : The negative Gram germs were those which predominate in the infections of the operating site at the regional hospital center Borgou. The high rate of resistance to usual antibiotics must raise preventive and hard actions in order to inflect the graph of frequency and protect the antibiotics