A New Approach to Diverticulitis

The old way of managing diverticulitis—routine antibiotics for all—is officially on the way out, according to American College of Physician's first two clinical guidelines on the topic.

In the first guideline, ACP suggested that clinicians initially manage most patients with acute uncomplicated left-sided colonic diverticulitis in an outpatient setting because of a lack of evidence suggesting a benefit of routine hospitalization. The guideline also suggested managing select patients without antibiotics at first, among other recommendations.

“Although the traditional management includes antibiotics, ACP's review of the literature found that evidence did not support their use for uncomplicated diverticulitis and suggests treatment without the use of antibiotics,” noted ACP President George M. Abraham, MD, MPH, MACP

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