Antibiotic regimen for periappendicular abscess - Forum

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Sweden surgeon

Antibiotic regimen for periappendicular abscess - Ärzteforum

Post#1 »

What is your antibiotic regimen ( agents, IV / per oral, lenght of treatment ) for periappendicular abscess ( syn. "phlegmon"/ "plastron" ) - not drained surgically or percutaneous ?


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surgery

Re: Antibiotic regimen for periappendicular abscess - Ärzteforum

Post#2 »

You confuse terms here. Appendicular abscess means -PUS- which must be drained either per-cutaneously or operatively.

What you mean is an appendicular MASS or PHLEGMON- representing a well walled-off appendicitis ,presenting usually late, and responding in 90% to non operative antibiotic therapy.

Now which antibiotics?

Does not matter as long as you cover E.Coli and Bacterioides fragilis.

Which route?

Does not matter as long as you achieve therapeutic serum levels.

How long?

A pure guess in the absence of any prospective studies.


An example of logical regimen (there are numerous to chose from)

Start with cipro and flagyl IV. After 2-3 days- when mass becomes non-tender and patient feels well switch to cipro and flagyl orally- and send home.

Do understand- whenever you see any paper advoating a certain type of regimen as "better"- the authors were/are supported by the drug company.

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