There was no consistency among the protocol s regarding length of antibiotic use , discharge criteria , or use of home antibiotics following discharge .
Limiting duration of antibiotic use to3 days did not appear to be associated with higher rates of intraabdominal abscess or wound infection .
In the absence of higher-level evidence , shortening of antibiotic regimens following surgery for pediatric complicated appendicitis appears to be safe
The suitable duration of antibiotic use following appendectomy for advanced appendicitis in children is still debated .
Management of peritonitis in perforated appendicitis in children.
A prospect i ve study on the management of severe acute appendicitis with gangrene and perforation was carried out using protocol s that included schematized treatment . The schemes emphasized adequate preoperative treatment , meticulous operative technique of peritoneal toileting , generous use of appropriate antibiotics in combinations , and early grade d patient 's ambulation in the postoperative period . The average hospital stay was seven days , wound infection was of mild degree and less than 1 % , and there was a low morbidity . Follow-up has shown no serious complications
There was no consistency among the protocol s regarding length of antibiotic use , discharge criteria , or use of home antibiotics following discharge .
Limiting duration of antibiotic use to3 days did not appear to be associated with higher rates of intraabdominal abscess or wound infection .
In the absence of higher-level evidence , shortening of antibiotic regimens following surgery for pediatric complicated appendicitis appears to be safe
The suitable duration of antibiotic use following appendectomy for advanced appendicitis in children is still debated .