CLINICAL ASSESSMENT OF PERITONITIS USING MANNHEIM‚??S PERITONITIS INDEX

Abstract

Pradeep Kumar Chitumalla1, Venkata Ramana Nandagiri2, Suryanarayana Reddy Vonterl3

AIM
To assess prognosis in patients of peritonitis using Mannheim’s Peritonitis Index.
MATERIALS AND METHODS
This is a prospective study which consisted of a total of 60 cases studied in Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar between November 2013 to September 2015. The patients studied were between age of 13 and 83 years and both males and females were included in the study. The patients taken into the study were those who had clinical symptoms and signs like pain abdomen, distension, vomiting, fever, tenderness, guarding, rigidity, absent bowel sounds and obliteration of liver dullness.
INCLUSION CRITERIA
Only cases of secondary peritonitis were taken into study.
EXCLUSION CRITERIA
Peritonitis due to other causes like Primary peritonitis, Post-operative peritonitis, Pancreatitis were excluded from study.
RESULTS
In present study, mean MPI score of survivors was 21.27, mean score of non-survivors was 31.96. Mean age of all patients was 37.25 years, mean age of survivors was 32.17, mean age of non-survivors was 53.16 years. 97.5 was observed in mortality <50 years and 100 in mortality >50 years. Mortality in male and female was 0% and 10%. Mortality% with organ failure was 1.6 and mortality% without organ failure was 98.4. Mortality% with malignancy was 0 and mortality% without malignancy was 98.4. Mortality% if >24 hours was 2.2 and mortality% if <24 hours was 0. Mortality% with colonic origin was 0 and mortality% without colonic origin was 0. The nature of peritoneal contamination fluid is an important determinant of the index. Our results are as follows: Clear fluid in 3 cases, Purulent in 57 cases, Faeculent in 0 cases.
CONCLUSION
The Mannheim Peritonitis Index is a specific, simple, reliable and accurate index in assessment of prognosis in patients of peritonitis.

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