Surgery still superior to antibiotics for acute appendicitis

HOPES that patients with appendicitis could be spared surgery may have been denied by a randomised trial finding that antibiotic therapy is not a viable alternative.

Over 240 adults diagnosed with appendicitis were assigned to either surgery or amoxycillin plus clavulanic acid.

“Nearly a quarter of our patients who recovered after antibiotic treatment had recurrence of appendicitis… more than the 14% reported in previous studies,” said the French researchers, who suggested bacterial resistance to amoxycillin could be a factor.

Around a third of the patients treated with antibiotics went on to