The study was published online April 12 in the Journal of the American College of Surgeons.
Appendicitis is the most common condition leading to emergency surgery in children. The appendix, a thin, small tube located where the large and small intestines meet, can become infected and inflamed sometimes when blocked by small pieces of stool. The infection can cause intense pain and, if the appendix ruptures, can lead to widespread infection.
When compared to the group that underwent surgery, the group treated with antibiotics had fewer disability days (3 vs. 17) , and returned to school in an average of three days instead of five. Parents and children had higher "quality of life scores," but the children treated with antibiotics spent more time in the hospital (38 hours vs. 20 hours).
The researchers said more study is needed to determine the longer-term success rate, safety and cost-effectiveness of the use of antibiotics.