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February 1997, Vol 151, No. 2 >
Article | February 1997

Role of the Primary Care Provider in the Care of Children With Acute Appendicitis: Experiences From a Public Hospital FREE

Jay W. Park, MD
Arch Pediatr Adolesc Med. 1997;151(2):210. doi:10.1001/archpedi.1997.02170390100023.
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I have read with interest the article by Chande and Kinnane1 on the role of the primary care provider (PCP) in expediting care of children with acute appendicitis. A good number of children had been seen at our community hospital emergency department in their early stage of appendicitis and sent home only to return with advanced complication. During the last 21/2-year period, 13 children were admitted to our community hospital with complicated appendicitis (perforated appendicitis with periappendiceal abscess or peritonitis). Only 3 of them were initially evaluated by the PCP and subsequently referred to a surgeon, and among the remaining 10, 7 children (70%) had been seen at the emergency department the previous day. The average hospital stay for these children with complicated appendicitis was 8.5 days (range, 5-18 days). None of them received acceptable preoperative antibiotic treatment, and only 6 children received proper antibiotic therapy during the postoperative

REFERENCES

1 +
Chande VT, Kinnane JM.  Role of the primary care provider in expediting care of children with acute appendicitis . Arch Pediatr Adolesc Med . 1996;; 150:703-706.
2 +
Brender JD, Marcuse EK, Koepsell TD, Hatch EI.  Childhood appendicitis: factors associated with perforation . Pediatrics . 1985;;76:301-306.
3 +
Schropp KP, Kaplan S, Golladay ES, et al.  A randomized clinical trial of ampicillin, gentamycin and clindamycin versus cefotaxime and clindamycin in children with ruptured appendicitis . Surg Gynecol Obstet . 1991;;172:351-356.
4 +
Curran TJ, Muenchow SK.  The treatment of complicated appendicitis in children using peritoneal drainage: results from a public hospital . J Pediatr Surg . 1993;;28:204-208.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Chande VT, Kinnane JM.  Role of the primary care provider in expediting care of children with acute appendicitis . Arch Pediatr Adolesc Med . 1996;; 150:703-706.
2 +
Brender JD, Marcuse EK, Koepsell TD, Hatch EI.  Childhood appendicitis: factors associated with perforation . Pediatrics . 1985;;76:301-306.
3 +
Schropp KP, Kaplan S, Golladay ES, et al.  A randomized clinical trial of ampicillin, gentamycin and clindamycin versus cefotaxime and clindamycin in children with ruptured appendicitis . Surg Gynecol Obstet . 1991;;172:351-356.
4 +
Curran TJ, Muenchow SK.  The treatment of complicated appendicitis in children using peritoneal drainage: results from a public hospital . J Pediatr Surg . 1993;;28:204-208.

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