September 2025. Volume 21. Number 3

In non-perforated appendicitis, antibiotic therapy is associated with more failures than appendectomy

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

St Peter SD, Noel-MacDonnell JR, Hall NJ, Eaton S, Suominen JS, Wester T, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomised, non-inferiority trial. Lancet. 2025; 405(10474):233-40.

Reviewers: Cabrera Morente L1, Flores Villar S2.
1Pediatra. CS San Felipe. Distrito Sanitario de Jaén. Jaén. España.
2Pediatra. Área de Hospitalización Pediátrica. Hospital Universitario MútuaTerrassa. Barcelona. España.
Correspondence: Laura Cabrera Morente. Email: lauramorente@hotmail.com

Abstract

Authors´ conclusions: in acute non perforated appendicitis, antibiotic treatment was inferior to appendectomy in preventing cumulative treatment failure. Appendectomy resulted in shorter hospital stays and fewer subsequent emergency department visits, but antibiotic treatment resulted in a shorter convalescence period and a faster return to normal daily activities.

Reviewers´ commentary: conservative treatment with antibiotics was inferior to surgical treatment of non-perforated appendicitis by appendectomy, so when explaining the therapeutic options for this specific process, this fact observed in this study is not negligible when deciding on treatment for acute non-perforated appendicitis.

How to cite this article

Cabrera Morente L, Flores Villar S. En apendicitis no perforadas la antibioterapia se asocia a más fracasos que la apendicectomía. Evid Pediatr. 2025;21:29.

AVC | Critically appraised articles

St Peter SD, Noel-MacDonnell JR, Hall NJ, Eaton S, Suominen JS, Wester T, et al. Appendicectomy versus antibiotics for acute uncomplicated appendicitis in children: an open-label, international, multicentre, randomised, non-inferiority trial. Lancet. 2025; 405(10474):233-40.

Reviewers: Cabrera Morente L1, Flores Villar S2.
1Pediatra. CS San Felipe. Distrito Sanitario de Jaén. Jaén. España.
2Pediatra. Área de Hospitalización Pediátrica. Hospital Universitario MútuaTerrassa. Barcelona. España.
Correspondence: Laura Cabrera Morente. Email: lauramorente@hotmail.com

How to cite this article

Cabrera Morente L, Flores Villar S. En apendicitis no perforadas la antibioterapia se asocia a más fracasos que la apendicectomía. Evid Pediatr. 2025;21:29.

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