Overview

Non-operative Management of Pediatric Appendicitis With an Appendicoltih

Status:
Terminated
Trial end date:
2015-07-01
Target enrollment:
0
Participant gender:
All
Summary
To determine if non-operative management with antibiotics alone is a feasible treatment alternative for pediatric patients with uncomplicated acute appendicitis with an appendicolith identified on imaging.
Phase:
N/A
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Peter Minneci
Treatments:
Amoxicillin-Potassium Clavulanate Combination
Anti-Bacterial Agents
Antibiotics, Antitubercular
Piperacillin, tazobactam drug combination
Criteria
Inclusion Criteria:

- Age : 7-17 years

- Abdominal pain
- White Blood Cell Count >5 but < 18

- US or CT confirmed early appendicitis plus:

- US:
- CT:
Exclusion Criteria:

- Positive urine pregnancy test

- Pain > 48 hours prior to first antibiotic dose

- Diffuse peritonitis

- History of chronic intermittent abdominal pain

- White Blood Cell count ≤ 5 or ≥ 18

- Absence of appendicolith or any evidence on imaging studies concerning for evolving
perforated appendicitis including abscess or phlegmon