Pyelonephritis Treatment

Pyelonephritis - In recurrent infections additional investigations may identify an underlying abnormality Occasionally a surgical intervention is

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Pyelonephritis Treatment As practically all cases of pyelonephritis are due to bacterial infections, antibiotics are the mainstay of treatment. Mild cases may be treated with oral therapy, but generally intravenous antibiotics are required for the initial stages of treatment. The type of antibiotic depends on local practice, and may include:- Fluoroquinolones such as ciprofloxacin Penicillins such as Tazocin or amoxicillin Trimethoprim Aminoglycosides are generally avoided due to their toxicity All acute cases with spiking fevers and leucocytosis should be admitted to the hospital for IV fluids rehydration. Intravenous fluids may be administered to compensate for the reduced oral intake, insensible losses (due to the raised temperature) and vasodilatation to maximize urine output. If the patient is septic secondary to an obstructing stone, percutaneous nephrostomy is indicated to prevent hydronephrosis (another cause of pain and renal pathology).
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Unformatted text preview: In recurrent infections, additional investigations may identify an underlying abnormality. Occasionally, a surgical intervention is necessary to reduce chances of recurrence. If no abnormality is identified, some studies suggest long-term prophylactic treatment with antibiotics, either daily or after sexual intercourse. Prognosis Acute pyelonephritis usually responds well to antibiotic therapy, with most patients becoming asymptomatic in due course. Time to resolution of symptoms depends largely on the initial severity of disease. For patients who present with severe acute symptoms, it is important to ensure that their course of antibiotics is completed in its entirety. Providing adequate and prompt treatment assures that most patients become asymptomatic and that pyelonephritis does not recur. The prognosis is less favourable for older patients and those with complicating factors or underlying renal disease....
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This note was uploaded on 12/04/2011 for the course ANTHRO 2000 taught by Professor Monicaoyola during the Fall '10 term at Broward College.

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