Peritonitis: comparison of three scoring systems

ABSTRACT

Two hundred patients were included in this trial. They had data of diffuse peritonitis proved surgically. Information specific to peritonitis and variables necessary for the calculation of APACHE II, MPI and PIAII scores were recorded. The three scoring systems were compared as regards the discriminatory ability, sharpness and reliability. It was found that APACHE II score is more superior than both MPI and PIA II as it produces reliable predications and can define more precisely the risk groups. Additional antibiotic trial was performed using APACHE II score to look for the impact on wound sepsis, augmenting which proved to be the best, followed by unasyn and lastly zinnat