Postoperative antibiotic use and the incidence of intra-abdominal abscess in the setting of suppurative appendicitis: a retrospective analysis
| Autor: | Farabi Hussain, Ahmed Dehal, Patrick Nguyen, Esther Bae, Joshua Scurlock, Vanessa Franz, Nicholas Sakis, Michael Joannides |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal Abscess medicine.drug_class Antibiotics 030230 surgery 03 medical and health sciences 0302 clinical medicine medicine Retrospective analysis Appendectomy Humans Surgical Wound Infection Antibiotic use Abscess Retrospective Studies Postoperative Care Suppuration business.industry Incidence (epidemiology) Incidence Suppurative appendicitis 030208 emergency & critical care medicine Intra-abdominal Abscess General Medicine medicine.disease Appendicitis Surgery Anti-Bacterial Agents Acute appendicitis Acute Disease Female Laparoscopy business |
| Zdroj: | American journal of surgery. 212(6) |
| ISSN: | 1879-1883 |
| Popis: | Background Although guidelines exist for postoperative antibiotic use in acute appendicitis that is perforated, gangrenous, or simple/uncomplicated, there are less data about its use in suppurative appendicitis. Here, we targeted this subgroup of patients to determine whether postoperative antibiotic administration affects incidence of intra-abdominal abscess formation. Methods We retrospectively examined 1,192 patients who underwent laparoscopic appendectomy for acute appendicitis at Kaiser Permanente Fontana Hospital between August 2010 and August 2013. Suppurative appendicitis was described for 143 (12%) patients. Fifty-two patients received postoperative antibiotics for at least 1 week on discharge home, 91 did not. Results Of 143 patients with suppurative appendicitis, 1 (1.9%) who received postoperative antibiotics came back with an intra-abdominal abscess within 1 month. Of the 91 patients in the no antibiotic group, 1 (1.1%) came back with an intra-abdominal abscess. Conclusions The administration of postoperative antibiotic in the setting of suppurative appendicitis has no effect on the rate of intra-abdominal abscess formation. Routine postoperative antibiotics may not be necessary in this patient population, and more evidence is needed to justify its use. |
| Databáze: | OpenAIRE |
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