Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: HIV, appendectomy and postoperative complications at a reference hospital in Northwest Tanzania: cross-sectional study. | Giiti et al. AIDS Research and Therapy 2010 7 47 http content 7 1 47 RESEARCH AIDS RESEARCH AND THERAPY Open Access HIV appendectomy and postoperative complications at a reference hospital in Northwest Tanzania cross-sectional study Geofrey C Giiti1 Humphrey D Mazigo2 Jorg Heukelbach3 4 William Mahalu1 Abstract Background Appendicitis is a frequent surgical emergency worldwide. The present study was conducted to determine the prevalence of HIV and the association of infection with clinical intraoperative and histological findings and outcome among patients with appendicitis. Methods We performed a cross sectional study at Weill-Bugando Medical Centre in northwest Tanzania. In total 199 patients undergoing appendectomy were included. Demographic characteristics of patients clinical features laboratory intraoperative and histopathological findings and HIV serostatus were recorded. Results In total 26 199 were HIV-seropositive. The HIV-positive population was significantly older mean age years than the HIV-negative population years p . Leukocytosis was present in 87 of seronegative patients as compared to 34 in seropositive patients p and peritonitis was significantly more frequent among HIV-positives 31 vs. 2 p . The mean SD length of hospital stay was significantly longer in HIV-positives days vs. days p of HIV patients developed surgical site infections as compared to in the HIV-negative group p . Conclusion HIV infections are common among patients with appendicitis in Tanzania and are associated with severe morbidity postoperative complications and longer hospital stays. Early diagnosis of appendicitis and prompt appendectomy are crucial in areas with high prevalence of HIV infection. Routine pre-test counseling and HIV screening for appendicitis patients is recommended to detect early cases who may benefit from HAART. Introduction Appendicitis is the most frequent .
