How is suppurative or gangrenous (nonperforated) pediatric appendicitis defined?

Updated: Oct 25, 2018
  • Author: Adam C Alder, MD; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Patients with exudative appendicitis, particularly those with mural gangrene, have an increased rate of postoperative intra-abdominal and wound infections, even in the absence of demonstrable perforations. Often, microperforations are present and may be identified if cultures of the fluid are obtained. However, if the the child is clinically improved and Gram stain and culture findings, if available, are negative, the intravenous antibiotics can be stopped in approximately 24 hours, and the child may be discharged home as soon as diet and oral pain medications can be tolerated. A decision can be made by the surgeon to continue oral antibiotics at home.


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