Comparison of Two Postoperative Antibiotic Regimens for Complex Appendicitis: A Pragmatic, Open-Label, Multicentre Study





2 days versus 5 days of postoperative antibiotics for complex appendicitis:
a pragmatic, open-label, multicentre, non …




The Debate Over Postoperative Antibiotics for Complex Appendicitis

When it comes to the treatment of complex appendicitis, there is a great deal of debate over the amount of postoperative antibiotics that should be prescribed. On one side, some surgeons favor a short-term course of antibiotics while on the other side of the debate, longer courses of antibiotics are preferred. Recently, a new study has emerged that attempts to answer this question once and for all, comparing two days of postoperative antibiotics against five days of postoperative antibiotics for complex appendicitis patients.

The study, conducted by a group of researchers across multiple sites and published in the journal Annals of Surgery, examined the outcomes of over two thousand complex appendicitis patients. The study participants were randomly assigned to either a two-day postoperative course of antibiotics or a five-day course of antibiotics. The results of the study showed that there was no difference in the risk of complications between the two groups, indicating that a two-day course of antibiotics may be just as effective as a longer course of antibiotics.

Although the study results appear to favor the two-day course of antibiotics, it is important to keep in mind that the study was conducted with a relatively small sample size, meaning that the results may not be applicable to the entire population of complex appendicitis patients. Furthermore, it is important to note that the study did not report any long-term health outcomes, so the effects of a two-day course of antibiotics in the long-term are still unknown.

The debate over the appropriate course of postoperative antibiotics for complex appendicitis patients is likely to continue. It is important to note that, while the study results may favor a shorter course of antibiotics, patients should always seek treatment advice from their physician. Ultimately, the course of treatment should be tailored to each individual patient based on a number of factors, including the severity of the condition, the patient’s medical history, and any allergies or sensitivities the patient may have.