Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomised, non-inferiority trial

Appendicectomy vs. Antibiotics for Appendicitis in Children

Study Overview

This study compares two treatments for uncomplicated appendicitis in children: surgery (appendicectomy) and antibiotics. It aims to see if antibiotics are as effective as surgery.

Study Details

Conducted across 11 children’s hospitals in multiple countries, this trial included children aged 5-16 with suspected appendicitis. Participants were randomly assigned to either the antibiotic group or the appendicectomy group.

Key Findings

  • Out of 936 enrolled patients, 846 completed the study with follow-up data.
  • Treatment failure occurred in 34% of the antibiotic group, compared to only 7% in the surgery group.
  • No deaths or serious adverse events were reported in either group.
  • Antibiotic treatment was found to be less effective than surgery.

Conclusions

Antibiotics for treating non-perforated appendicitis are less effective than appendicectomy based on the study’s findings.

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