{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T21:06:59Z","timestamp":1777756019105,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to evaluate outcomes of different antibiotic durations in patients with severe diverticulitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Initial electronic medical record review identified 2437 adult patients who underwent sigmoid colectomy. Manual chart review identified 133 patients who underwent sigmoid resection and proximal diversion for Hinchey stage 3 or 4 diverticulitis. Patients who received a short antibiotic course (SAC, \u22645\u00a0days) were compared with those who received a long antibiotic course (LAC, &gt;5\u00a0days). The primary composite outcome included superficial, incisional, organ-space infections or death within 30\u00a0days post procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 53 SAC patients and 55 LAC patients were identified. The composite outcome occurred more frequently in LAC patients than in SAC patients (40% vs 15%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .005). Organ-space infection occurred more frequently in LAC patients than in SAC patients (31% vs 13%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Extended duration of antibiotics after adequate source control does not improve outcomes even in the setting of extensive intra-abdominal contamination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251409742","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T16:15:59Z","timestamp":1767370559000},"page":"1701-1706","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of Short- vs Long-Course Antibiotics in Treatment of Hinchey Stage 3 and 4 Diverticulitis"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7134-1630","authenticated-orcid":false,"given":"Abanoub A.","family":"Awad","sequence":"first","affiliation":[{"name":"Department of General Surgery, Mayo Clinic Health System"},{"name":"Department of General Surgery, Faculty of Medicine, Ain shams University, Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria E.","family":"Linnaus","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mayo Clinic Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac L.","family":"Theerman","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mayo Clinic Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore","family":"Yang","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin - Central Wisconsin Campus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin M.","family":"York","sequence":"additional","affiliation":[{"name":"Department of Surgery, Basset Health Care Network"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Stephens","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8945-951X","authenticated-orcid":false,"given":"Irving A.","family":"Jorge","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Mayo Clinic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle S.","family":"Junker","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco J.","family":"Cardenas Lara","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mayo Clinic Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1615-2204","authenticated-orcid":false,"given":"Jennifer R.","family":"Rich","sequence":"additional","affiliation":[{"name":"Research and Innovation, Mayo Clinic Health System Eau Claire, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirstin J.","family":"Kooda","sequence":"additional","affiliation":[{"name":"Pharmacy Services, Mayo Clinic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Beckermann","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mayo Clinic Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1777439"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000219682.98158.11"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-010-0899-4"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2021.10.017"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-012-1622-4"},{"key":"e_1_3_5_7_2","first-page":"85","article-title":"Treatment of perforated diverticular disease of the Colon","volume":"12","author":"Hinchey EJ","year":"1978","unstructured":"Hinchey EJ, Schaal PG, Richards GK. 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