Variation exists in the management of pediatric appendicitis.
In this study, doctors from the Unites States determined current practices in the management of pediatric appendicitis.
The team surveyed members of the American Pediatric Surgical Association (APSA).
They collected data on imaging preferences, operation timing, as well as opinions on interval appendectomy.
The team also surveyed intraoperative principles. These included the use of cultures, antibiotic irrigation, transperitoneal drains, and methods of wound closure.
|Interval appendectomy was favored in appropriate candidates.|
|Journal of Pediatric Surgery|
Spectrum and duration of antibiotic coverage were also assessed, as were discharge criteria.
The team found that survey response was 70%.
The team established that a majority of APSA members preferred computerized tomographic imaging. They also favored interval appendectomy in appropriate candidates.
They also found that 70% of participants would operate on a stable child with suspected appendicitis in a semiurgent manner.
However, the team found that discrepancy existed in the type and duration of antibiotic coverage, impact of clinical parameters on antibiotic use, and utility of discharge criteria.
Dr Steven Muehlstedta and colleagues concluded, “This study consolidates current opinions on appropriate management of pediatric appendicitis, providing a foundation for evidence-based outcome studies capable of bringing conformity to the management of this surgical disease”.
“Such studies would establish clinical practice guidelines that optimize resource utilization while maintaining quality care”.