[Answer] A 24 year old man undergoes laparascopic appendectomy for a gangrenous non perforated appendicitis. He received 1 gram of cefoxitan IV preoperatively. Postoperatively he is awake and alert; he is tolerating a diet. On examination the abdomen is not distended. Bowel sounds are present. There is generalized mild abdominal tenderness to palpation. Vital signs include a blood pressure of 115/70 mmHg a pulse of 85 per minute respirations of 18 per minute and a temperature of 37.5°C. Which of the following is the most appropriate plan for antibiotic management?Continue for 48 hours after surgeryAntibiotics should not be continued post-operativelyContinue for one weekAntibiotics should be continued until intraoperative cultures have been reportedContinue until the white blood cell count (WBC) normalizes

Answer: Antibiotics should not be continued post-operatively

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A 24 year old man undergoes laparascopic appendectomy for a gangrenous non perforated appendicitis. He received 1 gram of cefoxitan IV preoperatively. Postoperatively he is awake and alert; he is tolerating a diet. On examination the abdomen is not distended. Bowel sounds are present. There is generalized mild abdominal tenderness to palpation. Vital signs include a blood pressure of 115/70 mmHg a pulse of 85 per minute respirations of 18 per minute and a temperature of 37.5°C. Which of the following is the most appropriate plan for antibiotic management?Continue for 48 hours after surgeryAntibiotics should not be continued post-operativelyContinue for one weekAntibiotics should be continued until intraoperative cultures have been reportedContinue until the white blood cell count (WBC) normalizes A 24 year old man undergoes laparascopic appendectomy for a gangrenous non perforated appendicitis . He received 1 gram of cefoxitan IV preoperatively . Postoperatively he is awake and alert ; he is tolerating a diet . On examination the abdomen is not distended . Bowel sounds are present . There is generalized mild abdominal tenderness to palpation . Appendectomy - procedure recovery blood removal pain ... Laparoscopic Appendix Removal (Appendectomy) Surgery ... Appendectomy: Procedure Recovery Aftercare Guidelines for Laparoscopic Appendectomy - A SAGES Publicat...

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