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Antibiotic Use Vs Appendectomy In Management of Uncompllcated Acute Appendictis: A Review Article

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Acute Appendicitis (AA) is the most comm on cause of acute abdomen in young adult and also the second most comrnon cause of surgical abdominal disease in late adulthood. Although the standard treatment of AA in most health centers is early appendectomy, there is increasing interest and use of antibiotic therapy as the primary treatment for uncomplicated AA. This literature reviews the current evidence and hopes to evaluate the role of antibiotics compared to appendectomy in the management of AA. Literature search was done using PUBMED, Medscape, and JSTOR to identify studies published between 2003 and 2013, using keywords "antibiotic'', "appendectomy", and "appendicitis" which resulted in 5 papers consist of 2 meta-analysis of RCT, 2 prospective RCT, and 1 literature review. All of these papers were reviewed; they demonstrated the role of antibiotics as a bridge to surgery, but failed to adequately justify their findings that antibiotics could be used as a definitive treatment of AA. It comes to a conclusion that although antibiotic may be used as primary treatment for patients with uncomplicated appendicitis, antibiotic is unlikely to supersede appendectomy as the gold standard therapy for AA at the present.
Keyword: antibiotie - appendeetomy - appendicitis - aeute appendicitis

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Call Number

MEDICINUS : Jurnal Kedokteran Universitas Pelita H

Publisher

Tangerang : FK Universitas Pelita Harapan Tangerang., 2012

Collation

6p

Language

ISBN/ISSN

1978-3094

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Edition

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Subject(s)

APPENDECTOMY

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