• J Hosp Med · Feb 2025

    Things We Do for No Reason: Routine use of antibiotics for acute uncomplicated diverticulitis.

    • Nikolas Evan Marino, Sidra Lenore Speaker, John Rossettie, and Brian Kwan.
    • VA San Diego Healthcare System, Hospital Medicine, San Diego, California, USA.
    • J Hosp Med. 2025 Feb 5.

    AbstractThe treatment of acute uncomplicated diverticulitis (UD) with antibiotics remains common despite substantial evidence supporting the non-inferiority of nonantibiotic outpatient management. In the past 15 years, there have been two landmark randomized-controlled clinical trials, follow-up studies, and numerous retrospective studies that have supported the non-inferiority of nonantibiotic management of UD. Multiple medical societies including the American Gastroenterological Association and the American College of Physicians recommend using antibiotics selectively rather than routinely in UD. We aim to raise physician awareness of the latest guideline recommendations through our article, potentially improving antibiotic stewardship and reducing related healthcare costs.© 2025 Society of Hospital Medicine.

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