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Antibiotics may be the best first treatment for appendicitis

Antibiotics may be the best first treatment for appendicitis

 


Tuesday, October 6, 2020 (HealthDay News)-A large study in the United States suggests that antibiotics may do the trick for some patients suffering from appendicitis.

According to a new report, more than 70% of patients receiving antibiotics avoided surgery for at least 90 days.

“Comparing the results of people treated with antibiotics alone or surgery to remove the appendix, we found that people who received both treatments felt better in 30 days,” said co-principal investigator Dr. David Talan. Stated. “In terms of overall health, antibiotics are no worse than surgery, and most people were able to avoid surgery in a short period of time.”

Thalang is a professor of emergency medicine and infectious diseases at the University of California, Los Angeles School of Medicine, David Gefen.

In this study, more than 1,500 patients in 14 states in the United States initially received random antibiotics or appendectomy. The study is the largest clinical randomized study to date for the treatment of appendicitis, the study authors said.

“People treated with antibiotics often return to the emergency department, but have less time to miss work or school,” said Bonnie Bizel, chair of the study’s patient advisory board. May be important for individuals considering the best treatment options, because of their unique situation. ”

About three in ten antibiotic-treated patients underwent surgery within 90 days, according to Dr. David Fulham, vice president of surgery at the University of Washington School of Medicine in Seattle. “Each treatment has its strengths and weaknesses, and patients evaluate them differently based on their unique characteristics, concerns, and perspectives.”

Initial treatment with antibiotics increased the risk for patients with the appendix. Calcified deposits in the appendix occur in about a quarter of patients. Researchers said it was associated with more complications and a 40% chance of surgery within 90 days.

The findings were published online on October 5th. New England Journal of Medicine..

For more information

For more information on appendicitis National Library of Medicine..

Source: University of California, Los Angeles, News Release, October 5, 2020

Stephen Reinberg

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