Original Research Article
Year: 2020 | Month: July | Volume: 10 | Issue: 7 | Pages: 283-286
Descriptive Study Regarding the Etiological Factors Responsible for Secondary Bacterial Peritonitis in Patients Admitted in a Tertiary Care Hospital in Trans Himalayan Region
Raj Kumar1, Rahul Gupta2, Anjali Sharma3, Rajesh Chaudhary4
1MS General Surgery, Civil Hospital Baijnath, Himachal Pradesh
2MD Community Medicine, District Programme Officer, Health and Family Welfare, Himachal Pradesh
3Resident Doctor, Department of Microbiology, DRPGMC Kangra at Tanda, Himachal Pradesh
4MS General Surgery, Civil Hospital Nagrota Bagwan, Himachal Pradesh
Corresponding Author: Rahul Gupta
ABSTRACT
Peritonitis is an inflammation of the peritoneum. Primary peritonitis which is spontaneous bacterial peritonitis, Secondary peritonitis due to infection from intraabdominal source or spillage of its contents and Tertiary peritonitis which is recurrent or reactivation of secondary peritonitis. The present study was aimed to determine the etiology of generalized secondary peritonitis among the patients admitted in Department of General Surgery, Dr RPGMC Kangra at Tanda. This descriptive observational study was conducted in the department of surgery Dr. Rajendra Prasad Government Medical College Kangra at Tanda consisting of patients having acute generalised secondary peritonitis presented in emergency department or Surgery outdoor patient department over a period of one year from December 2016 through November 2017. The most common etiology of generalized secondary peritonitis in our patients was peptic ulcer disease (77.13%) followed by perforated appendicitis (9.8%). Etiological factors of secondary generalised peritonitis have a different pattern in different geographical regions. Peptic ulcer disease remains the commonest etiology of secondary peritonitis in India followed by enteric perforation which is in contrast to the western studies where appendicular and colon perforations are more common.
Key words: Secondary Peritonitis, Trans Himalayan State, Etiology, Epidemiology