Managing uncomplicated appendicitis in children with antibiotics instead of an operation is an effective strategy

A recent article published in JAMA Surgery noted that non operative treatment for uncomplicated appendicitis may be a viable strategy.

The treatment involved a 24 hour of in-hospital observation and IV antibiotic use fallowed by a 10 day course of oral antibiotics.

After 1 year of follow up, only 20% of patient required an appendectomy. Furthermore they had fewer days of disability and no difference in quality of life after 1 year.

So perhaps, just as we had discussed in our podcast about acute appendicitis, antibiotic based management of the condition may become a reasonable option.

Click here for a link to the editorial in JAMA Surgery talking about the article.

Posted on 17/12/2015 by Dr. Dimitre