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Surgical aspects of bacterial infection in African children.
[pyomyositis]
Infections
and
their
complications
requiring
surgical
intervention
are
a
frequent
presentation
in
African
children
.
Surgical
site
infection
(
SSI
)
is
common
with
rates
over
20
%
,
even
after
clean
procedures
.
The
high
rates
of
SSI
are
due
in
part
to
lack
of
infection
control
and
surveillance
policies
in
most
hospitals
in
Africa
.
SSI
is
attended
by
complications
,
long
hospital
stay
,
and
some
mortality
,
but
the
economic
consequences
are
unestimated
.
Typhoid
fever
and
typhoid
intestinal
perforation
are
major
problems
with
perforation
rates
of
approximately
10
%
,
which
is
higher
in
older
children
.
The
ideal
surgical
treatment
is
arguable
,
but
simple
closure
and
segmental
resection
are
the
present
effective
surgical
options
.
Because
of
delayed
presentation
,
complications
after
surgical
treatment
are
high
with
a
mortality
approaching
41
%
in
some
parts
of
Africa
.
Nutrition
for
these
patients
remains
a
challenge
.
Acute
appendicitis
,
although
not
as
common
in
African
children
,
often
presents
rather
late
with
up
to
50
%
of
children
presenting
with
perforation
and
other
complications
,
and
mortality
is
approximately
4
%
is
some
settings
.
Pyomyositis
and
necrotizing
fasciitis
are
the
more
common
serious
soft
-tissue
infections
,
but
early
recognition
and
prompt
treatment
should
minimize
the
occasional
mortality
.
Though
common
in
Africa
,
the
exact
impact
of
human
immunodeficiency
virus
infection
on
the
spectrum
and
severity
of
surgical
infection
in
African
children
is
not
clear
,
but
it
may
well
worsen
the
course
of
infection
in
these
patients
.
Diseases
Validation
Diseases presenting
"complications after surgical treatment are high with a mortality approaching 41%"
symptom
pyomyositis
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