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N/A N=102 Randomized Treatment

Intravenous Versus Intravenous/Oral Antibiotics for Perforated Appendicitis

Perforated Appendicitis

Enrolled (actual)
102
Serious AEs
0.0%
Results posted
Dec 2011
Primary outcome: Primary: Abscess After Appendectomy — 10; 10 number of patients

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
5 days of IV antibiotics (ceftriaxone and metronidazole) (Drug); Home with oral antibiotics when eating (ampicillin/clavulanic acid) (Drug)
Age
Pediatric, Adult
Sex
All
Sponsor
Children's Mercy Hospital Kansas City
Primary completion
Nov 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Abscess After Appendectomy
10; 10
SECONDARY
Operative Time
41.06; 46.30
SECONDARY
Time to Regular Diet
68.00; 61.42
SECONDARY
Length of Stay After Operation
6.06; 4.48
SECONDARY
Total Healthcare Visits
3.1; 3.1

Summary

The objective of this study is to scientifically evaluate two different management strategies for perforated appendicitis. The hypothesis is that early discharge with oral antibiotic therapy may result in a dramatic decrease in medical care expenses for the patient. The primary outcome variable between the two strategies is abscess rate.

Eligibility Criteria

Inclusion Criteria

  • Identifiable hole in the appendix or stool in the abdomen at the time of appendectomy

Exclusion Criteria

  • Known immune deficiency
  • Abscess identified on pre-op imaging
  • Another condition affecting surgical decision making or recovery (e.g. hemophilia, severe cardiac or respiratory co-morbidities).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00462020). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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