Complicated Appendicitis

Empiric Treatment:

Check one:

Mild-moderate

Those who do not meet criteria for severe infection but may have:

SIRS (two or more of: Temperature >38°C or <36°C; Heart rate >90/min; Respiratory rate >20/min; White blood cell count >12,000/mm3 or <4,000mm3)
Co-morbidities (e.g. diabetes, advanced age)
Significant pain

Severe

Requiring ICU admission, or

Sepsis (life-threatening organ dysfunction e.g. hypotension, acute renal failure, caused by dysregulated host response to infection)

Check one:

Community acquired (Most)

Acquired in the outpatient setting

Health care-associated (Rare)

Acquired more than 48 hours post admission, or

Hospitalization, surgery, regular outpatient visits (e.g. dialysis, chemotherapy) within last 90 days or residing in long term care