[Early postoperative complications at the Pediatric Service of the Gabriel Touré University Hospital Center].
OBJECTIVE
To determine the hospital frequency, identify the risks factors and evaluate the mortality of the early postoperative complication.


METHODS
It was about a prospective study done from January first to May 31st 2006. All children from 0 to 15 years old operated in settled or urgent surgery and follow in the service were concerned of this study.


RESULTS
We brought together 47 cases of complication in 40 patients on a total of 631 children operated in five months. The average age of our patients was of 51.9 months +/- 47.4. The average period of hospital stay was of 4.3 days +/-3.12. A germ was found in the pus in 13 patients. A lung opaqueness was found in three patient's and a germ was present in the urine in 3 also. The average period of appearance of complications was of 7.7 days +/-1.3. The infection of the operating site occupied 2.5%, evisceration 1.1%, haematoma 0.9%, digestive fistula 0.3% and postoperative occlusion 0.15%. The death rate was 1.9%.


CONCLUSIONS
The type of surgery, the mode of recruitment, the duration and conditions of the hospital stay were the factors of the postoperative complications.
Coulibaly
Y
Y
Service de Chirurgie Pédiatrique, CHU Gabriel Touré, BP 267, Bamako, Mali. coulibalyyacak@yahoo.fr
Keita
S
S
Diakite
I
I
Kante
L
L
Ouattara
Y
Y
Diallo
G
G
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003428:Cross Infection / Q000453:epidemiology; D006748:Hospital Departments / Q000706:statistics & numerical data*; D017052:Hospital Mortality; D006785:Hospitals, University / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007902:Length of Stay / Q000706:statistics & numerical data; D008302:Mali / Q000453:epidemiology; D010372:Pediatrics / Q000706:statistics & numerical data*; D018410:Pneumonia, Bacterial / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D012307:Risk Factors; D013529:Surgical Wound Dehiscence / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000453:epidemiology