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July 26, 2025Updates in SurgeryOpen Access

Postoperative antibiotic strategies in acute complicated appendicitis: a systematic review

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Authors

HSHussayn ShinwariBEBéatrice Marianne Ewalds‐KvistMBMichael El Boghdady

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Overview

Systematic review examines antibiotic regimens for postoperative care in patients with complicated appendicitis, highlighting stewardship implications.

Key Points

  • Shorter intravenous antibiotic courses (2-6 days) effectively prevent infections in complicated appendicitis.
  • Data from 11 studies with 8361 participants support that shorter regimens reduce hospital stays and costs.
  • Risk factors like disease severity influence the need for prolonged antibiotic use and treatment decisions.
  • Transitioning to oral antibiotics in select patients is equally effective in managing complicated appendicitis.

Cite This Study

Shinwari et al. (2025) studied this question.

synapsesocial.com/papers/689a0933e6551bb0af8ce51ehttps://doi.org/10.1007/s13304-025-02327-6
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