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Appendicitis at Kenyatta National Hospital, Nairobi

, : Appendicitis at Kenyatta National Hospital, Nairobi. East African Medical Journal 82(10): 526-530

Appendicitis still remains a diagnostic challenge particularly in women and extremes of age. The incidence of appendicectomy for suspected appendicitis is higher but declining in the developed countries in contrast with a low but increasing incidence in Africa. To describe the characteristics of appendicitis at Kenyatta National Hospital, with emphasis on epidemiological oddities. A prospective descriptive study. Kenyatta National Hospital, a 2000 bed teaching and referral hospital in Nairobi, Kenya One hundred and eighty nine patients managed for suspected acute appendicitis between July 2000 and June 2001. There were 116 males and 73 females. The peak incidence was in the third decade. Sixty four percent of patients were below 30 years of age. The elderly (< 60 years of age) accounted for 1.6% of cases. The rate of false appendicectomy was 18.0%. This rate of negative appendicectomies was 12.9% for males and 30.1% for females. The rate of perforation/gangrene was 29.7%. Hospital stay averaged 6.4 days. Overall morbidity was 12.3%. It was 19.4% in perforated appendicitis and 7.6% in non-perforated appendicitis. There was no mortality. The incidence of appendicitis has increased at Kenyatta National Hospital over the last 30 years. The disease is common in men in their third decade. These odd characteristics warrant further investigations.


PMID: 16450681

Other references

Haspel J.; Klein E.; Ben Ari G.; Rubinstein E., 1980: Effect of pancreatitis on ampicillin and clindamycin excretion in the pancreatic fluid in dogs. Nelson, J D And C Grassi (Ed ) Current Chemotherapy And Infectious Disease, Vol 1 And 2; Proceedings Of The 11th International Congress And The 19th Interscience Conference on Antimicrobial Agents And Chemotherapy, Boston, Mass , Usa, Oct 1-5, 1979 Xxi+774p (Vol 1); Ix+1023p (Vol 2 ) The American Society For Microbiology: Washington, D C , Usa Illus P843-844

Sokolova, I.V.; Martinez, A-Marie.; Fletcher, W.H., 2002: The highly conserved Gln49 and Ser50 of mammalian connexin43 are present in chick connexin43 and essential for functional gap junction channels. In an attempt to compare the regulation of chick connexin43 channels to those of mammalian connexin43, we found that the nucleotide sequence reported for chick connexin43 differs from that of the chick connexin gene by two codons that had been ent...

Dove, C.R.bert C.; Usry, J., 1996: Substitution of lactose and amino acids for whey in the diets of pigs weaned at 10 days. Journal of Animal Science 74(SUPPL 1): 56

van Leeuwen, S.P.J.; Leonards, P.E.G.; Traag, W.A.; Hoogenboom, L.A.P.; de Boer, J., 2007: Polychlorinated dibenzo-p-dioxins, dibenzofurans and biphenyls in fish from the Netherlands: concentrations, profiles and comparison with DR CALUX bioassay results. Fish from Dutch markets were analysed for concentrations of polychlorinated dibenzo-p-dioxins/dibenzofurans (PCDD/Fs) and dioxin-like polychlorinated biphenyls (DL-PCBs) and compared with the new European maximum residue levels (MRLs), set in 2006...

Pantall, J., 1979: The training and development of young administrators--an independent view. Hospital and Health Services Review 75(7): 241-245

Dehart, G.W.; Healy, K.E.; Jones, J.C.R., 2003: The role of a3b1 integrin in determining the supramolecular organization of laminin-5 in the extracellular matrix of keratinocytes. Experimental Cell Research 283(1): 79

Stepensky, P.; Keller, B.; Buchta, M.; Kienzler, A-Kathrin.; Elpeleg, O.; Somech, R.; Cohen, S.; Shachar, I.; Miosge, L.A.; Schlesier, M.; Fuchs, I.; Enders, A.; Eibel, H.; Grimbacher, B.; Warnatz, K., 2013: Deficiency of caspase recruitment domain family, member 11 (CARD11), causes profound combined immunodeficiency in human subjects. Profound combined immunodeficiency can present with normal numbers of T and B cells, and therefore the functional defect of the cellular and humoral immune response is often not recognized until the first severe clinical manifestation. Here we rep...

Long, J.W.; Khanwilkar, P.; Crump, K.R.; Pantalos, G.M.; Kinoshita, M.; Kim, H.C.; Olsen, D.B., 1990: Right-left ventricular balance in implanted electrically powered artificial hearts. An electrohydraulic total artificial heart (EHTAH), using an interatrial shunt (IAS) for right-left heart balance, was evaluated in acute, in vivo, open-chested calves. The EHTAH system demonstrated physiologic autoregulation with Starling-like re...

Engelhard, H.H.; Stelea, A.; Mundt, A., 2003: Oligodendroglioma and anaplastic oligodendroglioma: clinical features, treatment, and prognosis. Recent advances that have been made in diagnostic imaging, surgical technique, chemotherapy, molecular biology, and prediction of therapeutic response could have potential impact on the optimal diagnosis and treatment of patients with brain tumors...

Wade, A.G.; Crawford, G.M.; Pumford, N.; McConnachie, A., 2011: Patient reported outcome data following influenza A (H1N1p) vaccination in the 2009-2010 season: web-based and telephone evaluation. There has been worldwide interest in the safety of the pandemic influenza A (H1N1p) vaccines, although limited data are available from the vaccine recipients' perspective. This evaluation was designed to collect data from people who had recei...