An analytical study of antibiotics helping or delaying diagnosis of appendicitis in paediatric patients

Introduction: The diagnosis of appendicitis in children is difficult and poses a challenge for clinicians. Recent trends in management of acute abdomen is by starting with empiricalantibiotics.The point of this investigation was to decide if beginning treatment with antibioticsagents hindered consequent diagnosis of appendicitis.
Materials and methods: A retrospective study of 200 cases treated for appendicitis between May 2017 to May 2018.Patients were classified into two gatherings. First group received antibiotics priorto a definitive diagnosis of appendicitis whereas second group did not receive antibiotics prior to a diagnosis of appendicitis.
Results: In the present study, we observed abdominal tenderness less marked in patients receiving antibiotics. As compared to group 2 patients, group patients have fundamentally higher C-reactive protein and pre-operative temperature. Theperforation rate and complication rate were significantly more noteworthy in group 1.Urinary tract infection and respiratoryinfection were the commonest misdiagnoses. Misdiagnosis results in significant elay before appendicectomy.
Conclusions: Pre-diagnosis antibiotics masks the actual signs of appendicitis and thus delays the management and causes significantly higher rate of complications.Thus, the diagnosis ofacute appendicitis must be considered and,all children seen with abdominalpain excluded who have recently been treated with antibiotics, if necessary.