Current management of appendicitis
Section snippets
Treatment
The treatment of appendicitis depends on both the patient’s general condition and the state of the appendix. Children with appendicitis are often dehydrated and may be febrile, acidotic, and septic. Intravenous fluids and antibiotics are always indicated preoperatively. The antibiotic regimen selected should be effective against the bacterial flora found in the appendix, which consists chiefly of anaerobes and Gram-negative coliforms. Anaerobes make up most of the colonic flora and include
Summary
Appendicitis in children is common and continues to challenge even the most experienced clinician. The spectrum of its clinical presentation varies from subtle, vague abdominal complaints to life-threatening septic shock and often mimics other disorders. The response of the patient’s immune system varies considerably for similar degrees of appendiceal inflammation found at operation. There are, unfortunately, no preoperative tests for appendicitis with perfect sensitivity and specificity. Some
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