Mannheim's Peritoneal index score (MPI)

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]

Mannheim's Peritoneal index score (MPI)

Mannheim's Peritoneal index score (MPI) is used for risk stratifying patients with peritonitis based on age, sex, peritoneal fluid analysis and co morbidities.

Riskfactor	Score
Age >50 years	5
Female sex	5
Organ failure	7
Malignancy	4
Origin of sepsis not colonic	4
Diffuse generalized peritonitis	6
Preoperative duration of peritonitis >24h	4
Intraperitoneal exudates Clear Cloudy, purulent Fecal	0 6 12

Assessment of the prognosis of patients with peritonitis using Mannheim Peritonitis Index (MPI)

• For a score of 27, the sensitivity was 66.67%, specificity was 100%, and positive predictive value for mortality is 100% at an accuracy of 94%.

Assessment of severity of peritonitis using MPI
Score	Mortality rate	Morbidity rate
<21	0%	13.33%
21-27	27.28%	65.71%
>27	100%	100%