Hoelzer et al listed a number of criteria that should be met when deciding to stop antibiotic therapy for a child following complicated appendicitis. The authors are from Christiana Care Health System in Wilmington, Delaware.


Patient selection: child following complicated appendicitis (perforated or gangrenous)


Therapy: broad-sprectrum antibiotics, usually given for 3 to 14 days


Criteria for stopping antibiotics - all of the following:

(1) The child is eating.

(2) The child is afebrile (temperature < 38°C)

(3) The percent band forms in the peripheral blood smear is <= 3%.


A child who meets all of these criteria has a low risk of recurrent intra-abdominal abscess if the antibiotics are discontinued. The parents or guardian should consider to monitor the child for signs of any problems.


To read more or access our algorithms and calculators, please log in or register.