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Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

Appendicitis

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Appendicitis-I: Introduction

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Updated: Jun 18, 2026

A Protocol to Characterize the Morphological Changes of Clostridium difficile in Response to Antibiotic Treatment

A Protocol to Characterize the Morphological Changes of Clostridium difficile in Response to Antibiotic Treatment

Published on: May 25, 2017

[Fast track antibiotic protocol in acute appendicitis].

I Tuduri Limousin¹, J Morcillo Azcárate, R Granero Cendón

¹Servicio de Cirugía Pediátrica, Hospital Infantil Virgen del Rocío, Sevilla. tuduri@yahoo.com

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica

|December 5, 2009

Summary

This summary is machine-generated.

A new 72-hour antibiotic protocol for appendicitis significantly reduced infectious morbidity and intra-abdominal abscesses. This fast-track approach allows for early patient discharge without increasing readmission rates, addressing rising antimicrobial resistance.

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One-day Workflow Scheme for Bacterial Pathogen Detection and Antimicrobial Resistance Testing from Blood Cultures

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A Protocol to Characterize the Morphological Changes of Clostridium difficile in Response to Antibiotic Treatment

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One-day Workflow Scheme for Bacterial Pathogen Detection and Antimicrobial Resistance Testing from Blood Cultures

One-day Workflow Scheme for Bacterial Pathogen Detection and Antimicrobial Resistance Testing from Blood Cultures

Published on: July 9, 2012

Area of Science:

Infectious Diseases
Surgical Infections
Antimicrobial Stewardship

Context:

Rising antimicrobial resistance challenges traditional appendicitis treatment.
Triple antimicrobial therapy efficacy is declining, increasing patient morbidity.
A fast-track protocol using Cefuroxime-Metronidazole or Ertapenem was implemented.

Purpose:

To evaluate the impact of a new fast-track antibiotic protocol on infectious morbidity rates.
To determine the feasibility of early patient discharge in appendicitis cases.
To assess changes in infectious complications and readmission rates.

Summary:

An analytic historic cohort study compared patients before and after protocol implementation.
The new protocol reduced hospital stay by 2.82 days and intra-abdominal abscess risk (RR 0.366).
Readmission rates decreased significantly from 9.8% to 0%, with no increase in complications.

Impact:

The new protocol effectively decreased infectious morbidity in appendicitis patients.
Early discharge is feasible for perforated appendicitis without compromising patient safety.
Understanding local bacterial flora is crucial for optimizing antibiotic therapy in appendicitis.