Ivana Heinimann, Philipp Busche, Éva Pozder, Gisela Etter, Cordula Gubler, Katia Boggian, Philip Tarr
{"title":"[Acute Diverticulitis - Treatment without Antibiotics?]","authors":"Ivana Heinimann, Philipp Busche, Éva Pozder, Gisela Etter, Cordula Gubler, Katia Boggian, Philip Tarr","doi":"10.23785/PRAXIS.2025.02.006","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>In patients with acute uncomplicated diverticulitis current guidelines recommend that antibiotics should not be used reflexively or routinely, but rather selectively: starting with Hinchey stage 1b, i.e. in the case of localized pericolic abscess. Antibiotic-free diverticulitis therapy is therefore generally possible up to Hinchey stage 1a. We recommend carefully evaluating the patient, taking exclusion criteria into account and re-examining the patient after 48-72 hours. Keywords: Diverticulitis, antibiotics, treatment without antibiotics, complications.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"61-65"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Praxis","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23785/PRAXIS.2025.02.006","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: In patients with acute uncomplicated diverticulitis current guidelines recommend that antibiotics should not be used reflexively or routinely, but rather selectively: starting with Hinchey stage 1b, i.e. in the case of localized pericolic abscess. Antibiotic-free diverticulitis therapy is therefore generally possible up to Hinchey stage 1a. We recommend carefully evaluating the patient, taking exclusion criteria into account and re-examining the patient after 48-72 hours. Keywords: Diverticulitis, antibiotics, treatment without antibiotics, complications.
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