Estudio prospectivo sobre la seguridad y la eficacia del tratamiento sin antibioterapia de los pacientes diagnosticados de diverticulitis aguda no complicada tras la puesta en marcha de un protocolo en un hospital de tercer nivel

IF 1.3 4区 医学 Q3 SURGERY
Alba Correa Bonito, Carlos Cerdán Santacruz, Yaiza García del Álamo Hernández, Fernando Gijón Moya, Elena Bermejo Marcos, Ana Rodríguez Sánchez, Javier García Septiem, Elena Martín Pérez
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引用次数: 0

Abstract

Introduction

The main objective of our study is to analyze the results in our hospital after launching a treatment protocol without antibiotic therapy for patients diagnosed with acute uncomplicated diverticulitis.

Methods

Our observational, prospective, single-center study was developed after launching a treatment protocol without antibiotic therapy for patients diagnosed with acute uncomplicated diverticulitis (AUD) in January 2021. The follow-up period was from January 1, 2021 to September 30, 2023. Variables evaluated by the study have included demographic and analytical variables, as well as those related to diagnosis and whether the patients needed to start antibiotic treatment, inpatient treatment, or surgical procedures.

Results

In total, 199 patients were diagnosed with AUD, 75 of whom were treated without antibiotic therapy as outpatients. Seven of these patients needed to start antibiotic treatment because of adverse evolution; none of these patients required surgical procedures. The need for inpatient treatment, urgent care, or surgical procedures is similar to the group of patients treated with antibiotics.

The main risk factor of failure of outpatient treatment without antibiotic therapy identified by the study was the presence of bacteriuria at diagnosis.

Conclusions

Our results confirm previous reports, observing that treatment without antibiotic therapy in selected patients with AUD is safe.

Abstract Image

一项前瞻性研究,探讨在一家三级医院对急性无并发症憩室炎患者实施无抗生素治疗方案后的安全性和有效性。
引言 本研究的主要目的是分析我院对诊断为急性无并发症憩室炎的患者实施无抗生素治疗方案后的结果。方法 我院于 2021 年 1 月对诊断为急性无并发症憩室炎 (AUD) 的患者实施无抗生素治疗方案后,开展了一项观察性、前瞻性、单中心研究。随访期为 2021 年 1 月 1 日至 2023 年 9 月 30 日。研究评估的变量包括人口统计学变量和分析变量,以及与诊断和患者是否需要开始抗生素治疗、住院治疗或手术治疗相关的变量。其中 7 名患者因不良反应而需要开始抗生素治疗;这些患者中没有人需要进行外科手术。结论我们的研究结果证实了之前的报道,即对选定的 AUD 患者不使用抗生素治疗是安全的。
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来源期刊
Cirugia Espanola
Cirugia Espanola SURGERY-
CiteScore
1.20
自引率
21.10%
发文量
173
审稿时长
53 days
期刊介绍: Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.
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