A study conducted in the United States found that most children with uncomplicated appendicitis can be successfully treated with antibiotics alone. The study, involving 1,068 children aged 7 to 17 years, showed that two-thirds of children treated with antibiotics did not require surgery within the next year. The nonoperative approach resulted in fewer days of disability for both patients and caregivers compared to immediate surgery. Surgeons had higher expectations for nonoperative treatment success than patients and other healthcare providers. The study supports offering nonoperative management as a treatment option for uncomplicated pediatric appendicitis, with the COVID-19 pandemic influencing attitudes toward medical treatment over surgery.
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