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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 [84] is typically managed by surgery. While antibiotics are safe and effective for treating uncomplicated appendicitis, [16] [7] [85] 31% of people had a recurrence within a year and required an eventual appendectomy. [18] Antibiotics are less effective if an appendicolith is present. [86]
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] After appendicectomy the main difference in treatment is the length of time the antibiotics are administered.
The antibiotic treatment may select for bacterial strains with physiologically or genetically enhanced capacity to survive high doses of antibiotics. Under certain conditions, it may result in preferential growth of resistant bacteria, while growth of susceptible bacteria is inhibited by the drug. [ 84 ]
Appendicitis is odd because the appendix doesn’t have a purpose, but a blockage in the lining of the appendix can result in infection and multiply. Stomach pain isn't the only symptom of ...
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]
The recommendation would be symptomatic treatment, meaning rest, lots of fluids and over-the-counter medicines like acetaminophen and ibuprofen to relieve symptoms of fever and body aches. Testing ...
Currently, conservative management and surgery are the only treatment options for omental infarction with no consensus as to the best treatment modality. Having both acute appendicitis and omental infarction is extremely rare with only two cases reported in the literature: one in an adult female and the other in a 7-year-old girl. [2]