Uncomplicated diverticulitis

A 35 year old presents to the ER with abdominal pain and diarrhea x 2 days. A CT shows diverticulitis but no abscess or other complications and WBC = 7. They are stable for discharge . Should antibiotics be prescribed?

Yes or No

How did others respond?

Reveal the answer

Best Answer

No ❌

Explanation: The 2021 American Gastroenterological Association recommends SELECTIVE use of antibiotics in uncomplicated diverticulitis.

When does AGA recommend antibiotics? 💊

-abscess, perforation, obstructions or other complications
-immunocompromised patients
-frailty/comorbidities
-vomiting
-symptoms > 5 days
-CRP > 140 mg/dL
-WBC > 15

This is based on several randomized controlled trials that compared patients with uncomplicated diverticulitis who received antibiotics 💊 or did not ❌ The studies found NO difference in:

-time to symptom resolution 🕐
-🏥 readmission
-need for surgery

🤯 🤯🤯

With uncomplicated diverticulitis antibiotics may not always be the answer!