A 28-year-old woman presents to the ED with right lower quadrant abdominal pain, fever 38.3 °C and rebound tenderness. Pregnancy test is negative. WCC...

Question

A 28-year-old woman presents to the ED with right lower quadrant abdominal pain, fever 38.3 °C and rebound tenderness. Pregnancy test is negative. WCC is 15 × 10⁹/L. Clinical suspicion for acute appendicitis is high. According to Australian surgical and antibiotic guidelines, which empirical intravenous antibiotic regimen is most appropriate pre-operatively?

Accepted Answer

Cefazolin plus metronidazole

Answer

Benzylpenicillin alone

Answer

Vancomycin plus gentamicin

Answer

Amoxicillin-clavulanate alone

Answer

No antibiotics until perforation confirmed

au-amc MCQ (SBA): Acute appendicitis antimicrobial prophylaxis