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  1. 14 Μαΐ 2019 · The following clinical algorithms were developed for management of pediatric patients with suspected or established appendicitis: Follow algorithm below for initial management: Follow algorithm below for patients with perforated appendicitis:

  2. 3 Ιουλ 2023 · A number of studies show that administration of antibiotics is vital in children with appendicitis. This has been shown to lower the rates of perforation and the surgery can even be delayed until morning.

  3. Infants PMA > 44 weeks Children, Adolescents, and Adults: 7.5 mg/kg/dose PO QID. Max dose: 500 mg/dose. An alternative drug for children who do not tolerate metronidazole is difficult to identify. Amoxicillin/clavulanate may be adequate, but an IV regimen might need to be considered.

  4. 26 Οκτ 2020 · Early transition to oral antibiotics with abbreviated courses of IV antibiotics for children with complicated appendicitis is supported in the literature by a randomized trial. 8 Several authors have shown reductions in resource utilization by incorporating this concept into comprehensive appendicitis protocols. 6,7,9 Direct comparison is ...

  5. The pediatric appendicitis clinical algorithms are shared between BCH Oakland and BCH San Francisco, developed via application of evidence and consensus among Pediatric Surgery, Pediatric Emergency Medicine and Pediatric Antimicrobial Stewardship. UCSF Pharmacy and Therapeutics Committee Approved 05/14/2019.

  6. 10 Μαΐ 2023 · Complicated appendicitis with abscess or phlegmon should be managed with antibiotics with or without interval appendectomy, while early appendectomy is indicated in the absence of abscess or phlegmon.

  7. 18 Μαΐ 2016 · A complete course of intravenous antibiotics vs a combination of intravenous and oral antibiotics for perforated appendicitis in children: a prospective, randomized trial. J Pediatr Surg. 2010;45 (6):1198-1202. PubMed Google Scholar Crossref.

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