Dichman Marie-Louise, Shabanzadeh Daniel Mønsted
Ugeskr Laeger. 2021 Jul 12;183(28).
Diverticulitis is a complication to the common condition diverticulosis. Uncomplicated diverticulitis has traditionally been treated with antibiotics. Risk factors for diverticulitis, however, may suggest, that the condition is inflammatory rather than infectious. The evidence on antibiotic treatment for uncomplicated acute diverticulitis suggests, that antibiotics have no effect on complications, emergency surgery, recurrence, elective colonic resections and long-term complications. The evidence is based on three randomised clinical trials on the need for antibiotics, which is summarised in this review.
憩室炎是常见的憩室病的一种并发症。传统上，非复杂性憩室炎采用抗生素治疗。然而，憩室炎的危险因素可能表明，该病是炎症性的而非感染性的。关于非复杂性急性憩室炎抗生素治疗的证据表明，抗生素对并发症、急诊手术、复发、择期结肠切除术和长期并发症均无效果。该证据基于三项关于是否需要使用抗生素的随机临床试验，本综述对此进行了总结。
