Antibiotics instead of surgery safe for some with appendicitis
Since the late 1800s, doctors have turned to surgery to treat appendicitis, even though an inflamed appendix sometimes gets better on its own. A new report suggests that trying intravenous antibiotics first works as well as surgery for some people. Researchers from Nottingham University Hospitals in England compiled the results of four randomized clinical trials that compared antibiotics and surgery for uncomplicated appendicitis. They found that antibiotics alone successfully treated appendicitis 63% of the time, but that 20% of those treated with antibiotics had a return of pain or other symptoms and needed to go back the hospital; some of these had serious infections brewing. The authors concluded that administering antibiotics early “merits consideration as the initial treatment option for uncomplicated appendicitis.” But their work isn’t likely to immediately change the way appendicitis is treated in the United States.












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