Podcast 727: Antibiotics for Diverticulitis

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Classically, diverticulitis is diagnosed via CT scan and patients are discharged home on antibiotics if they are without complication</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">The DINAMO study is a multicenter open-label RCT that evaluated if it is safe to not give antibiotics to patients with mild acute diverticulitis</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Found no difference in readmission, return visits to ED, pain control, or likelihood of surgical intervention between the group that was sent home with antibiotics and the group without</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Medical societies have not reached a consensus on this issue, likely further studies need to be completed</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Mora-López L, Ruiz-Edo N, Estrada-Ferrer O, et al. Efficacy and Safety of Nonantibiotic Outpatient Treatment in Mild Acute Diverticulitis (DINAMO-study): A Multicentre, Randomised, Open-label, Noninferiority Trial. Ann Surg. 2021;274(5):e435-e442. doi:10.1097/SLA.0000000000005031</span></p> <p><span style="font-weight: 400;">*Image from Hellerhoff, CC BY-SA 3.0 <<a href= "https://creativecommons.org/licenses/by-sa/3.0">https://creativecommons.org/licenses/by-sa/3.0</a>>, via Wikimedia Commons</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To access these and for more information, visit