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A new analysis found that outpatient management of appendicitis with antibiotics is safe for selected patients, which may allow people to avoid hospitalization
Acute appendicitis [81] is typically managed by surgery. While antibiotics are safe and effective for treating uncomplicated appendicitis, [16] [7] [82] 31% of people had a recurrence within a year and required an eventual appendectomy. [83] Antibiotics are less effective if an appendicolith is present. [84]
Complicated (perforated) appendicitis should undergo prompt surgical intervention. [1] There has been significant recent trial evidence that uncomplicated appendicitis can be treated with either antibiotics or appendicectomy, [4] [5] with 51% of those treated with antibiotics avoiding an appendectomy after 3 years. [6]
For example, in appendicitis, conservative management may include watchful waiting and treatment with antibiotics, as opposed to surgical removal of the appendix. [ 3 ] References
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Treatment is with antibiotics and drainage of the abscess; typically guided by ultrasound or CT, through the skin, via the rectum, or transvaginal routes. [3] Occasionally antibiotics may be used without surgery; if the abscess is at a very stage and small. [2] Until sensitivities are received, a broad spectrum antibiotic is generally required. [2]
Antibiotics are some of the most powerful tools in medicine. They’re prescribed to treat a variety of infections caused by bacteria, such as urinary tract infections, most ear infections, strep ...
To avoid surgery, antibiotics may be given for non-complicated acute appendicitis. [36] Antibiotics may be given as a preventive measure and this is usually limited to at-risk populations such as those with a weakened immune system (particularly in HIV cases to prevent pneumonia), those taking immunosuppressive drugs, cancer patients, and those ...