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Antibiotics, Hospital Admission May Not Help Uncomplicated Diverticulitis

By Ryan Patrick Radecki, MD, MS | on February 12, 2016 | 0 Comment
CME CME Now Pearls From the Medical Literature
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Antibiotics, Hospital Admission May Not Help Uncomplicated Diverticulitis

Expect further evidence regarding selective antibiotic treatment strategies for diverticulitis to continue trickling out over the next few months and years. Stay tuned to your favorite early knowledge translation resource to keep up to date with the latest developments.

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ACEP Now: Vol 35 – No 02 – February 2016

References

  1. Prasad V, Vandross A, Toomey C, et al. A decade of reversal: an analysis of 146 contradicted medical practices. Mayo Clin Proc. 2013;88(8):790-798.
  2. Ioannidis JP. Why most published research findings are false. PLoS Med. 2005;2(8):e124.
  3. Floch MH. A hypothesis: is diverticulitis a type of inflammatory bowel disease? J Clin Gastroenterol. 2006;40(Suppl 3):S121–S125.
  4. Chabok A, Påhlman L, Hjern F, et al. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br J Surg. 2012;99(4):532-539.
  5. Daniels L. Diverticulitis: antibiotics or close observation? Presented at: United European Gastroenterology Global Congress, Oct. 2014; Vienna, Austria.
  6. Isacson D, Thorisson A, Andreasson K, et al. Outpatient, non-antibiotic management in acute uncomplicated diverticulitis: a prospective study. Int J Colorectal Dis. 2015;30(9):1229-1234.
  7. Stollman N, Smalley W, Hirano I. American Gastroenterological Association Institute guideline on the management of acute diverticulitis. Gastroenterology. 2015;149(7):1944-1949.
  8. Andersen JC, Bundgaard L, Elbrond H, et al. Danish national guidelines for treatment of diverticular disease. Dan Med J. 2012;59:C4453.
  9. Andeweg CS, Mulder IM, Felt-Bersma RJ, et al. Guidelines of diagnostics and treatment of acute left-sided colonic diverticulitis. Dig Surg. 2013;30:278-292.
  10. Cuomo R, Barbara G, Pace F, et al. Italian consensus conference for colonic diverticulosis and diverticular disease. United European Gastroenterol J. 2014;2:413-442.
  11. Kruis W, Germer CT, Leifeld L, et al. Diverticular disease: guidelines of the German Society for Gastroenterology, Digestive and Metabolic Diseases and the German Society for General and Visceral Surgery. Digestion 2014;90:190-207.

Pages: 1 2 3 | Single Page

Topics: AbdominalAntibioticClinicalDiverticulitisEmergency MedicineGastrointestinalHospital AdmissionOutcomePatient CarePearls from EM LiteratureTreatment

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About the Author

Ryan Patrick Radecki, MD, MS

Ryan Patrick Radecki, MD, MS, is an emergency physician and informatician with Christchurch Hospital in Christchurch, New Zealand. He is the Annals of Emergency Medicine podcast co-host and Journal Club editor and can be found on Twitter @emlitofnote.

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