[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 950
Citations 0
Research Letter
December 28, 2016

Mortality After Peritonitis in Sub-Saharan AfricaAn Issue of Access to Care

Author Affiliations
  • 1Department of Surgery, University of North Carolina School of Medicine, Chapel Hill
  • 2Department of Surgery, North Carolina Jaycee Burn Center, University of North Carolina School of Medicine, Chapel Hill
  • 3Department of Surgery, Kamuzu Central Hospital, Lilongwe, Malawi
JAMA Surg. Published online December 28, 2016. doi:10.1001/jamasurg.2016.4638

There is a lack of access to emergency surgical care in developing countries despite a burden of surgical disease.1 Health care systems are overwhelmed by the high volume of patients who need acute care and by insufficient capacity because of a lack of appropriate prehospital care, surgery-capable clinicians, and basic health care delivery infrastructures.2 Compared with high-income countries where mortality from peritonitis is less than 5%, mortality in this resource-poor setting is nearly 20%.1,3 These patients are particularly susceptible because of a lack of the prerequisite surgical infrastructure, which includes prompt triage and diagnosis, early transfer to a higher level of care, timely surgical intervention, and critical care services.4 This study identifies outcomes of patients with peritonitis and factors that contribute to mortality.

First Page Preview View Large
First page PDF preview
First page PDF preview