A survey was conducted to document current medical treatment of patients with uncomplicated acute diverticulitis.
A survey was mailed to 667 fellows of The American Society of Colon and Rectal Surgeons certified by the American Board of Colon and Rectal Surgery.
Queries were based on a clinical scenario of a patient with uncomplicated diverticulitis.
Three hundred seventy-three surveys (56 percent) were returned completed.
The majority (66 percent) chose an abdominal computed tomographic scan as the initial diagnostic test.
One-half used a single intravenous antibiotic with second-generation cephalosporins (27 percent) and ampicillin/sulbactam (16 percent) being the most common.
Oral antibiotics given at discharge were ciprofloxacin (18 percent), amoxicillin/clavulanate (14 percent), metronidazole (7 percent), and doxycycline (6 percent).
Combinations chosen were ciprofloxacin/metronidazole (28 percent) and metronidazole/trimethoprim sulfamethoxazole (6 percent), whereas 21 percent chose a variety of other antibiotics.
The majority (74 percent) prescribed oral antibiotics for 7 to 10 days.
Dietary recommendations at discharge were low residue (68 percent), regular (21 percent), and high residue (10 percent).
Half of those surveyed believed avoidance of seeds and nuts were of no value. (...)
Mots-clés Pascal : Diverticulite, Aigu, Diagnostic, Tomodensitométrie, Colonoscopie, Transit opaque, Traitement, Chimiothérapie, Antibactérien, Réalimentation, Surveillance, Pratique professionnelle, Etude statistique, Homme, Appareil digestif pathologie, Intestin pathologie, Radiodiagnostic, Imagerie médicale
Mots-clés Pascal anglais : Diverticulitis, Acute, Diagnosis, Computerized axial tomography, Colonoscopy, Barium meal, Treatment, Chemotherapy, Antibacterial agent, Refeeding, Surveillance, Professional practice, Statistical study, Human, Digestive diseases, Intestinal disease, Radiodiagnosis, Medical imagery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0259643
Code Inist : 002B13B03. Création : 16/11/1999.