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A critical appraisal on the treatment of acute appendicitis in pediatric population during the COVID-19 pandemic
Journal article   Open access   Peer reviewed

A critical appraisal on the treatment of acute appendicitis in pediatric population during the COVID-19 pandemic

Wireko A. Awuah, Jyi C. Ng, Aashna Mehta, Helen Huang, Toufik Abdul-Rahman, Jacob Kalmanovich, Esther P. Nansubuga, Katherine Candelario, Mohammad M. Hasan and Arda Isik
Annals of medicine and surgery, v 85(4), pp 868-874
01 Apr 2023
PMID: 37113946
url
https://doi.org/10.1097/MS9.0000000000000111View
Published, Version of Record (VoR) Open

Abstract

General & Internal Medicine Life Sciences & Biomedicine Medicine, General & Internal Science & Technology
Acute appendicitis is one of the most common causes of abdominal pain in children. During the coronavirus disease 2019 (COVID-19) pandemic, a delay in presentation to the emergency department and a higher rate of complicated appendicitis were observed. Traditionally, operative management (laparoscopic or open appendectomy) was thought to be the best treatment strategy for acute appendicitis. However, nonoperative management with antibiotics has gained popularity in managing pediatric appendicitis during the COVID-19 era. The pandemic has posed significant challenges in the management of acute appendicitis. Cancellation of elective appendectomies, delay in seeking care due to fear of contracting COVID-19 infection, and impact of COVID-19 infection in the pediatric population have resulted in higher rates of complications. Furthermore, multiple studies have reported multisystem inflammatory syndrome in children mimicking acute appendicitis, subjecting patients to unnecessary surgery. Therefore, it is imperative to update the treatment guidelines for the management of acute appendicitis in the pediatric population during and after COVID-19 times.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Pediatrics
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