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Date Published: 02/04/2025
Abstract Views: 88
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DOI: https://doi.org/10.51298/vmj.v547i3.13259
Issue
Vol. 547 No. 3 (2025)
Section
Các bài báo
How to Cite
Mai, V. Đợi ., & Phạm , V. N. (2025). EVALUATION OF ANTIBIOTIC TREATMENT OUTCOMES IN UNCOMPLICATED ACUTE APPENDICITIS. Vietnam Medical Journal, 547(3). https://doi.org/10.51298/vmj.v547i3.13259

EVALUATION OF ANTIBIOTIC TREATMENT OUTCOMES IN UNCOMPLICATED ACUTE APPENDICITIS

Văn Đợi Mai, Văn Năng Phạm

Main Article Content

Abstract

Background: Acute appendicitis is common in abdominal emergencies, with a risk of about 7-8%. Appendectomy is the main treatment, with a mortality rate of 0.7-2.4% with and without complications. The success rate of treating uncomplicated appendicitis with antibiotics is high (75-85%) in 1 year of follow-up has been proven. Objective: To evaluate the results of conservative treatment of uncomplicated acute appendicitis with antibiotics. Subjects and methods: Prospective, descriptive study of 136 patients with acute appendicitis at Can Tho University of Medicine and Pharmacy Hospital from August 2022 to February 2025. Results: Male/female = 6:7, mean age: 38.5±13.7 years old. The average time of disease onset, hospitalization and sick leave were 24.8±20.3 hours, 2.85±0.84 days and 4±0.5 days, respectively. During 24 hours of follow-up, 2 cases underwent emergency surgery (1.47%). Normal colonoscopy accounted for 88.2% and 11.8% of colon polyps (tubular polyps). During 1 year of follow-up, the recurrence, failure and mortality rates were 17.6%; 19.12% and 0%, respectively. Conclusion: Treatment of uncomplicated acute appendicitis with antibiotics is safe and feasible. Close monitoring is needed in the first 24 hours of treatment to detect and perform emergency surgery in cases of failure.

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References

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