Nonoperative management consisted of at least 24 hours of inpatient observation while receiving intravenous antibiotics and, on demonstrating improvement of symptoms, completion of 10 days of treatment with oral antibiotics.
A commentary notes that interestingly, this study showed a preference for non-English speakers to choose nonoperative management over operative management, which should be further explored, as cultural bias plays an important role in medical decision making, and an awareness of this bias by the physician is necessary. It adds that “further study is needed in this arena before we completely abdicate the responsibility for guiding our patient’s decision making.”