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20 wrz 2013 · In patients with non-perforated (phlegmonous or gangrenous) appendicitis, the use of postoperative antibiotic treatment is not recommended. In cases of perforated appendicitis, postoperative, broad-spectrum antibiotics are recommended for a minimum period of 3–5 days for adult patients.
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Conclusion: preoperative antibiotic prophylaxis is...
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30 lip 2024 · - Antibiotics versus appendectomy for nonperforated appendicitis - Antibiotic regimens for low-risk intra-abdominal infections - Antimicrobial prophylaxis for gastrointestinal surgery
Preoperative antibiotic prophylaxis is recommended in all patients with acute appendicitis, whereas postoperative antibiotics only in cases of perforation.
11 kwi 2024 · Multicentred randomised studies are needed to define the optimal postoperative antibiotic regimen for appendicitis in children and adults, including antibiotics prescription in multimorbid and immunocompromised patients.
Antibiotics are prescribed pre-operatively once diagnosis is confirmed. According to the recent literature, post-operative antibiotics are only required in complicated appendicitis, while prophylactic long-term antimicrobial therapy should be avoided, unless strongly indicated.
Conclusion: preoperative antibiotic prophylaxis is recommended in all patients with acute appendicitis, whereas postoperative antibiotics only in cases of perforation. Key words: Acute appendicitis; perforated appendicitis; appendectomy; antibiotic prophylaxis; antibiotic treatment; oral antibiotics; intravenous antibiotics.
1 kwi 2021 · We selected randomized controlled trials (RCTs) or observational studies comparing antibiotic therapy and appendectomy as the initial treatment for adult or paediatric patients with acute appendicitis.