Acute generalized peritonitis in children: A 7-year retrospective study of epidemiological, clinical, and therapeutic profiles in southeastern Morocco and 2-year forecast.

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI:10.4103/jehp.jehp_2240_24
Adnane Hakem, Wiame Mguil, Imane Touti, Hassan Alahyane, Bilal El-Mansoury, Driss Ait Ali, Brahim El Houate, Idriss Boutaayamou, Abdelaati El Khiat
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引用次数: 0

Abstract

Background: Acute generalized peritonitis (AGP) is a life-threatening condition that demands rapid diagnosis and treatment, especially in pediatric patients. However, limited literature is available regarding its epidemiological, clinical, and therapeutic aspects in under-served areas of Morocco, particularly in Southeast provinces. Therefore, this study aims to examine the epidemiological characteristics, clinical and paraclinical presentations, and management of acute generalized peritonitis (AGP) in children aged 0-15 years from 2017 to 2023 with a 2-year forecast.

Materials and methods: This retrospective study included 115 patients with AGP. Data analysis was conducted using the Chi-square test. Furthermore, the Holt-Winters method was used to forecast the AGP cases from January 2024 to December 2025.

Results: The majority (71.30%) were aged 8-15 years, with a male predominance (65.22%). The most frequent clinical features included fever and abdominal pain (100%) and abdominal guarding (87.83%). Appendicular peritonitis was the most common intraoperative diagnosis (86.09%). Surgical interventions included drainage (100%) and appendectomy (96.52%), with 86.09% of surgeries performed within 24 h. Postoperative complications were rare (4.35%), with septic shock (3.48%) being the most severe. Furthermore, the Holt-Winters model predicts continued variability of trend and seasonality of AGP cases in the upcoming years.

Conclusions: According to the results of this study, timely surgical management and effective antibiotic therapy were critical for positive outcomes. In addition, the prediction results showed a similar pattern to the actual data concluding that the proposed model can be used to forecast the future cases of AGP in this area.

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儿童急性广泛性腹膜炎:摩洛哥东南部流行病学、临床和治疗概况的7年回顾性研究和2年预测。
背景:急性广泛性腹膜炎(AGP)是一种危及生命的疾病,需要快速诊断和治疗,特别是在儿科患者中。然而,在摩洛哥服务不足的地区,特别是在东南部省份,关于其流行病学、临床和治疗方面的文献有限。因此,本研究旨在探讨2017 - 2023年0-15岁儿童急性广泛性腹膜炎(AGP)的流行病学特征、临床和临床表现以及治疗方法,并进行2年预测。材料与方法:本研究纳入115例AGP患者。数据分析采用卡方检验。采用Holt-Winters方法对2024年1月~ 2025年12月的AGP病例进行预测。结果:年龄以8 ~ 15岁居多(71.30%),男性居多(65.22%)。最常见的临床特征为发热、腹痛(100%)和腹部守卫(87.83%)。术中诊断最多的是阑尾腹膜炎(86.09%)。手术干预包括引流(100%)和阑尾切除术(96.52%),86.09%的手术在24 h内完成。术后并发症罕见(4.35%),以感染性休克(3.48%)最为严重。此外,Holt-Winters模型预测未来几年AGP病例的趋势和季节性将继续变化。结论:根据本研究的结果,及时的手术治疗和有效的抗生素治疗是取得积极结果的关键。此外,预测结果与实际数据具有相似的规律,表明该模型可用于预测该地区未来的AGP病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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