J Korean Med Assoc.  2018 Sep;61(9):568-572. 10.5124/jkma.2018.61.9.568.

Antibiotic therapy for appendicitis treatment

• Lee S
• Jung SM

• KMID: 2420368
• DOI: http://doi.org/10.5124/jkma.2018.61.9.568

Abstract

Appendicitis is the most common diagnosis of acute abdominal pain that may require surgical treatment, and 8.6% for men and 6.9% for women are at risk for this illness over the course of their lives. During the past century, appendectomy was the standard treatment for acute appendicitis. However, laparoscopic appendectomy has been used as the first-line treatment choice for appendicitis since the introduction of laparoscopic surgery. In cases of perforation or abscess, interval appendectomy and percutaneous drainage are recommended. Treatment strategies have become more diverse. In recent years, in some European countries, non-surgical treatment has been used for simple appendicitis without complications, and nonoperative treatment of appendicitis has become increasingly common in adults and children. In this article, nonoperative treatment of appendicitis is introduced, and guidelines for the selection of antibiotics according to appendicitis classification are summarized.

Keyword

Appendicitis; Nonoperative treatment of appendicitis; Anti-bacterial agents

MeSH Terms

Abdominal Pain
Abscess
Adult
Anti-Bacterial Agents
Appendectomy
Appendicitis*
Child
Classification
Diagnosis
Drainage
Female
Humans
Laparoscopy
Male
Anti-Bacterial Agents

Figure

• 

  Figure 1 Flow chart of patient selection and results in Samsung Medical Center. NOTA, nonoperative treatment of appendicitis.

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