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Pediatric appendicitis is treated by both pediatric and general surgeons.
To determine the predictive value of ultrasonography (US) for appendicitis in children when combined with clinical assessment based on the Pediatric Appendicitis Score (PAS).
To prospectively validate the Pediatric Appendicitis Score (PAS), developed on a cohort of children with abdominal pain suggestive of appendicitis, in unselected children with abdominal pain who present to the emergency department.
To assess the impact of socioeconomic status (SES) on pediatric appendicitis outcomes using the validated Agency for Healthcare Research and Quality (AHRQ SESS Index and incorporating block-group data.
A meta-analysis of twenty-eight studies investigating the duration of antibiotic treatment in cases of advanced pediatric appendicitis demonstrated that limiting the duration of antibiotic treatment to three days was not associated with a higher rate of abdominal abscesses or wound infection [ 3].
A recent systematic meta-analysis of twenty-eight studies on the duration of antibiotic therapy in cases of advanced pediatric appendicitis demonstrated that limiting the duration of antibiotic use to only 3 days was not associated with higher rates of intra-abdominal abscesses or wound infection [ 5].
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Over the past decade, pediatric patients with ruptured appendicitis (RA) have been successfully treated with IV antibiotics and an interval appendectomy.
Postoperative management of pediatric patients with non-ruptured appendicitis is highly variable and often includes an overnight stay in the hospital.
Pediatric patients suspected of having appendicitis despite a non-conclusive or negative ultrasound pose a diagnostic dilemma for the emergency physician.
Appendicitis is a frequent pediatric surgical condition for which there is great variability among practitioners regarding diagnosis and postoperative management.
This case demonstrates that a healthy degree of suspicion for complicated MD should be present when dealing with a questionable diagnosis of appendicitis, particularly in the pediatric population.
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