Podcast #1: Diverticulitis & Antibiotics - The Emergency Medical Minute

Podcast #1: Diverticulitis & Antibiotics

Run Time: 3 minutesdiverticulitis-s3-causes

Author: Dr. Christopher Holmes

Educational Pearls:

  • 2 Billion Dollars is spent on Diverticulitis a year
  • Typically has been treated with antibiotics
  • Large studies in Sweden / Netherlands – treated patients in the hospital with either Antibiotics or normal saline. They had the same resolution rate! Suggests antibiotics are of little utility.
  • Old myth – you don’t have to avoid nuts / seed / pop corn / etc in Diverticulitis – as is the old teaching – this has been disproven!
  • Key question – Can we consider discussion with patients to not treat antibiotics – may be an evolving standard of care.

References:

Johnson DA. New Guidelines on Acute Diverticulitis: How Will They Change Clinical Practice? January 2016. https://www.medscape.com/viewarticle/857275. Accessed January 26, 2016.

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