Presenter Status
Fellow
Abstract Type
Research
Primary Mentor
Tolulope A. Oyetunji, MD MPH FACS FAAP
Start Date
11-5-2021 11:30 AM
End Date
11-5-2021 1:30 PM
Presentation Type
Poster Presentation
Description
Background: To address concerns of antibiotic overutilization, normal white blood cell count (WBC) for age was previous l criteria for discontinuing antibiotics at discharge in perforated appendicitis. Retrospective review suggested a decrease in threshold for additional antibiotic administration to a discharge WBC(IAA).
Objectives/Goal: The purpose of our study is to determine if lowering the threshold for additional antibiotic administration decreased the rate of IAA after laparoscopic appendectomy for perforated appendicitis in children who were not discharged with additional antibiotics.
Methods/Design: Following IRB approval, prospective data was retrospectively reviewed. Children with perforated appendicitis identified during laparoscopic appendectomy at our institution between August 2011-July 2017 (PRE) and November 2017-June 2020 (POST) were included. Patients not discharged with an additional 4-day course of oral antibiotics were classified according to whether they returned with a postoperative abscess. Demographic data and clinical details were abstracted from patient medical records. Analysis was performed using STATA®; a p-value of
Results: A total of 752 children were included, 552 in the PRE cohort and 200 in the POST cohort. The POST cohort had fewer males (p=0.04) but was older (
Conclusions: While not statistically significant, the rate of intraabdominal abscess decreased using a white blood cell countimpact.
MeSH Keywords
Retrospective Studies; Abscess; Appendectomy; Appendicitis; Patient Readmission; Abdominal Abscess; Postoperative Complications; Leukocyte Count; Laparoscopy
Additional Files
Setting a Threshold for Discharge Antibiotics in Children with Pe.pdf (437 kB)Abstract
Setting a Threshold for Discharge Antibiotics in Children with Perforated Appendicitis: A Study Update
Background: To address concerns of antibiotic overutilization, normal white blood cell count (WBC) for age was previous l criteria for discontinuing antibiotics at discharge in perforated appendicitis. Retrospective review suggested a decrease in threshold for additional antibiotic administration to a discharge WBC(IAA).
Objectives/Goal: The purpose of our study is to determine if lowering the threshold for additional antibiotic administration decreased the rate of IAA after laparoscopic appendectomy for perforated appendicitis in children who were not discharged with additional antibiotics.
Methods/Design: Following IRB approval, prospective data was retrospectively reviewed. Children with perforated appendicitis identified during laparoscopic appendectomy at our institution between August 2011-July 2017 (PRE) and November 2017-June 2020 (POST) were included. Patients not discharged with an additional 4-day course of oral antibiotics were classified according to whether they returned with a postoperative abscess. Demographic data and clinical details were abstracted from patient medical records. Analysis was performed using STATA®; a p-value of
Results: A total of 752 children were included, 552 in the PRE cohort and 200 in the POST cohort. The POST cohort had fewer males (p=0.04) but was older (
Conclusions: While not statistically significant, the rate of intraabdominal abscess decreased using a white blood cell countimpact.
