Aim: To study the validity of scoring system, presently being studied worldwide.

These are:

1. Mannheim peritonitis index.
2. Sepsis score of Elebute and Stoner.

To study the prognostic factor which determine the outcome of the disease.

Materials and Methods: All patients diagnosed with peritonitis and admitted to SCB MEDICAL COLLEGE & HOSPITAL, Surgical Ward or who developed features of peritonitis due to various causes after being admitted between the period of August 2014 to July 2016.

Total number of cases studied – 100.

Observation: Duodenal perforation formed 73% (73) of the patients and 68% (27) of mortality. They had mortality rate of 33%. Both MPI and Sepsis score accurately predicted mortality and morbidity rates , patients whose MPI was ≤ 26 had low mortality rate of 7% whose MPI was > 26 had nearly 86% which was statistically significant ( P< 0.001). Similarly sepsis score of ≤ 20 had mortality of 7%, score > 20had mortality rate of 80% (P < 0.001).

Conclusion: There is wide scope for use of Mannheim peritonitis index, sepsis score of Elebute and Stoner in present context.

Keywords: Mannheim, sepsis score of Elebute, peritonitis.

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Dr Narendranath Swain

Associate Professor, Department of Surgery, SCB Medical College Cuttack, Odisha, India