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Assessment Strategy For Implementation Of Evidence-Based Protocol For Antibiotics In Appendicitis, Alexa J. Golden, Alia Aunchman, Gary An

Larner College of Medicine Fourth Year Advanced Integration Teaching/Scholarly Projects

Introduction:

Evidence-based protocols (EBP) exist to guide clinicians in decision-making, however, EBP are often delayed and not optimally implemented [1]. Antibiotic stewardship is heavily guided by EBP and highly relevant to surgical practice. Antibiotic regimens for one of the most common surgical diseases, acute appendicitis (AA) can be highly variable. Post-operative antibiotic (POA) use in non-perforated AA has been largely shown to be non-beneficial and potentially harmful [2]; 4 days of POA in cases where source control is obtained has shown to be non-inferior to commonly prescribed longer courses [3]. We identified lack of consistent antibiotic usage for AA at …