(Click the link to comment and to vote – voting not working through email, sorry!)

Note: controversies are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also regarding your thought processes and the evidence behind your decisions. We can learn from each other!

A recent randomized controlled trial by the CODA collaborative found a 10-day course of antibiotics to be non-inferior to appendectomy in adult, with 30-day health status as the primary outcome. By 90 days of follow-up, 29% of the antibiotics group had undergone appendectomy. Complications were more common in the antibiotics group, but not in the subgroup with no appendicolith.

If you were seeing a young healthy male with acute appendicitis of short duration, afebrile, normal labs, no appendicolith, mild pain, tolerating oral intake, would you consider treating with antibiotics only?

Would you treat appendicitis with antibiotics only?

View Results

Loading ... Loading ...