Cese de antibióticos al Alta en Apendicitis Complicadas
Topic overview
Estudio retrospectivo que compara resultados en apendicitis complicada pediátrica con y sin antibióticos al alta. No se encontraron diferencias significativas en infecciones postoperatorias ni duración de estancia hospitalaria, sugiriendo que suspender antibióticos al alta es seguro en pacientes clínicamente estables.
Key takeaways
- Discontinuing antibiotics at discharge for complicated appendicitis does not increase postoperative infection risk (7% vs 7.4%, p=1.0).
- Home antibiotic therapy after pediatric complicated appendicitis shows no benefit in reducing deep organ space infections requiring intervention.
- Hospital length of stay remains unchanged whether patients receive home antibiotics or not (4.5 vs 3.95 days, p=0.32).
- Parenteral antibiotics during hospitalization until clinical improvement, followed by discharge without oral antibiotics, is a safe protocol.
- Routine home antibiotic prescriptions after complicated appendicitis surgery should be reconsidered given lack of demonstrated benefit.
Comments