Postoperative Antibiotics, Outcomes, and Resource Use in Children With Gangrenous Appendicitis
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- Multi-center study found no difference in surgical site infections between antibiotic vs no antibiotic groups after non-perforated appendicitis
- 30-day readmission rates were similar regardless of post-operative antibiotic use in non-perforated appendicitis cases
- Propensity-matched analysis (n=202 per group) supports omitting post-op antibiotics for non-perforated appendicitis
- Eastern Pediatric Surgery Network data suggests post-operative antibiotics may be unnecessary resource use in this population
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Do you use post-operative antibiotics after a non-perforated appendicitis? Hi, I'm Cecilia Genna from Cincinnati Children's Hospital, and I think this is an article that you should know about. This is a multi-center retrospective study from the Eastern Pediatric Surgery Network that aim to establish the role of antibiotics after post-operative management of non-perforated appendicitis. After propensity score matches, they end up with 202 patients in each group. With antibiotics and no antibiotics after post-operative management, and what they found is that there were no significant difference in the rate of superficial surgical site infection on deep space organ infection, or in 30 day readmission rates. So it seems that antibiotics after post-operative management of non-perforated appendicitis are not needed. Let us know what you think and stay tuned for more articles that you should know about.