Overview
Non-operative Management of Pediatric Appendicitis With an Appendicoltih
Status:
Terminated
Terminated
Trial end date:
2015-07-01
2015-07-01
Target enrollment:
0
0
Participant gender:
All
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/AAccepts Healthy Volunteers?
NoDetails
Lead Sponsor:
Peter MinneciTreatments:
Amoxicillin-Potassium Clavulanate Combination
Anti-Bacterial Agents
Antibiotics, Antitubercular
Piperacillin, tazobactam drug combination
Criteria
Inclusion Criteria:- Age : 7-17 years
- Abdominal pain = 48hours prior to receiving antibiotics
- White Blood Cell Count >5 but < 18
- US or CT confirmed early appendicitis plus:
- US: =1.1 cm in diameter, presence of appendicolith
- CT: = 1.1cm in diameter, presence of appendicolith
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