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Typhoid enteric perforation in north western Nigeria
S T Edino1, A Z Mohammed, A F Uba
1Department of Surgery, Bayero University Kano, Kano, Nigeria.
Summary
Typhoid perforation remains a significant surgical challenge, often occurring in young adults. Preventive strategies like safe water, sanitation, and vaccination are crucial for reducing its incidence.
Area of Science:
- Surgical Gastroenterology
- Infectious Diseases
- Public Health
Background:
- Typhoid perforation is a critical surgical complication of typhoid enteritis.
- It is associated with substantial patient morbidity and mortality rates.
Purpose of the Study:
- To investigate the epidemiological patterns of typhoid perforation.
- To evaluate the management outcomes of surgical interventions for typhoid perforation at a tertiary hospital.
Main Methods:
- A retrospective analysis was conducted.
- Data from patients treated for typhoid perforation over a six-year period were reviewed.
Main Results:
- The study included 47 patients (35 males, 12 females), with a mean age of 18.9 years.
- Most perforations occurred in the second week of illness (61.7%), with simple closure being the primary surgical approach (72.3%).
- The mortality rate was 12.8%, predominantly due to sepsis, and wound infection was the most common postoperative complication (44.7%).
Conclusions:
- Typhoid perforation necessitating surgery is still prevalent in the region.
- Emphasis on preventive measures, including safe water, sewage disposal, and typhoid vaccination, is recommended.