The United States is among a handful of countries that have passed legislation requiring people to undergo emergency appendectomy surgery if their appendix becomes infected.
The move came after an infection with a new strain of the virus, called EV-D68, broke out in the United States in October.
The CDC estimates more than 3,500 Americans are infected each year.
A recent study from the American College of Gastroenterology found that up to 15% of adults have had an appendix rupture.
A small subset of the nation’s healthcare providers said they would perform the surgery.
And even though the procedure requires a hospital stay, many of them said they thought people should wait to have it done until they have symptoms of the disease.
“If you’re not ready to go to the hospital, we don’t need you there,” said Dr. David Schaller, an associate professor of emergency medicine at New York University Langone Medical Center.
But some providers said it was time to take a hard look at the surgery in light of recent EV-E68 outbreaks.
“I would really recommend you wait until your symptoms are better,” said a nurse practitioner at a New York City hospital.
“We’re going to have to wait until we see you.”
In the past two years, at least six people in the U.S. have had a potentially fatal infection with EV-68.
In September, a Florida woman who had a rare strain of EV-58 was diagnosed with the infection.
That same month, the state of Ohio began requiring emergency appendectomies for those over 65, with the expectation that those over 50 would be able to go under their own power for the procedure.
A spokesperson for the Ohio Department of Health said the state has not had a confirmed case of EV58 since February and has not conducted an analysis to determine if the patient was exposed to the new strain.
In the meantime, a spokesperson for an Ohio emergency department said it is still trying to determine whether the patient would have needed emergency surgery.
“It’s just not safe to do that,” said the spokesperson, who asked not to be named because he was not authorized to speak publicly.
The U.K., Canada, Australia, France and Germany have also passed legislation mandating emergency appendicellar surgery for people over 65.
The American Society of Microbiology has said the procedure is safe and should be encouraged in the future.
It says it is too early to say whether this could be a harbinger of more severe EV-69 outbreaks in the country.
“This is a rare and isolated incident and we should be vigilant about avoiding it in the near future,” said an SMB spokesperson.
“The risks of EV69 infection are very small, but they are very high.
The best way to minimize risk is to get tested regularly for EV-89.”
That same SMB spokeswoman also said the U,S.
is not in a position to have an emergency appendage surgery unless we have a clear and definite understanding of the potential risks associated with this virus.
“The American College’s Schallers added, “I don’t think we are at that point yet.
“If a patient does have EV-79, there is a good chance they won’t require surgery at all.
In fact, many doctors said they expect most people will not need surgery.
The Centers for Disease Control and Prevention (CDC) recommends people over age 65 undergo surgery to prevent infection and potentially infection-related complications.
“They should not go into the hospital until they are symptom-free.” “
You don’t want to get it to a patient who is in a very high-risk population,” said Schallerman.
“They should not go into the hospital until they are symptom-free.”
That doesn’t mean people should avoid the procedure, though.
“There’s no good reason to get an emergency surgery in the first place,” said Rick Bostwick, a surgeon at Johns Hopkins University School of Medicine in Baltimore.
He said there are times when the risk of infection is low, such as in patients who are being treated for cancer, or who have other medical conditions.
“But I’m very reluctant to go in there and do it unless I have a very clear indication that it’s not necessary.”
Doctors are also skeptical that emergency appendices should be used to treat people with EV19, which is the strain of E. coli that is spreading in hospitals across the country, and has been linked to serious illness and deaths.
coli has not been shown to cause EV-19,” said Bostovsky.
He added that the risks of the new E.coli strain are high, but that the risk should be kept in mind when deciding to have surgery.
That said, doctors who perform appendectomy procedures said that they are not opposed to it.
“An appendectomy can be the safest and most efficient procedure for treating an infection,” said one