Does pyelonephritis require admission?

Admission is also indicated for patients with apparent clinically uncomplicated pyelonephritis who have any of the following: Inability to maintain adequate oral hydration. Evidence of vasomotor instability. Unrelenting fever despite antipyretic therapy.

Does pyelonephritis require admission?

Admission is also indicated for patients with apparent clinically uncomplicated pyelonephritis who have any of the following: Inability to maintain adequate oral hydration. Evidence of vasomotor instability. Unrelenting fever despite antipyretic therapy.

What are the indications for admission in patients with acute uncomplicated pyelonephritis?

Indications for inpatient treatment include complicated infections, sepsis, persistent vomiting, failed outpatient treatment, or extremes of age. In hospitalized patients, intravenous treatment is recommended with a fluoroquinolone, aminoglycoside with or without ampicillin, or a third-generation cephalosporin.

What defines pyelonephritis?

Kidney infection (pyelonephritis) is a type of urinary tract infection (UTI) that generally begins in your urethra or bladder and travels to one or both of your kidneys. A kidney infection requires prompt medical attention.

What is the surgical management of pyelonephritis?

In addition to antibiotics, surgery may be necessary to treat the following manifestations of acute pyelonephritis: Renal cortical abscess (renal carbuncle): Surgical drainage (if patients do not respond to antibiotic therapy); other surgical options are enucleation of the carbuncle and nephrectomy.

What is acute uncomplicated pyelonephritis?

Acute pyelonephritis is a common bacterial infection of the renal pelvis and kidney most often seen in young adult women. History and physical examination are the most useful tools for diagnosis. Most patients have fever, although it may be absent early in the illness.

What is pyelonephritis acute?

By definition, acute pyelonephritis is an infection of the renal pelvis and kidney that usually results from ascent of a bacterial pathogen up the ureters from the bladder to the kidneys.

What is the investigation of pyelonephritis?

Two common laboratory tests are performed to diagnose kidney infections (pyelonephritis). A urine sample is examined under a microscope to determine if white and/or red blood cells are present. The urine is also sent to the lab to see if bacteria grow in a urine culture.

What is bilateral acute pyelonephritis?

Acute pyelonephritis is a sudden and severe kidney infection. It causes the kidneys to swell and may permanently damage them. Pyelonephritis can be life-threatening. When repeated or persistent attacks occur, the condition is called chronic pyelonephritis.

Can cause uncomplicated acute pyelonephritis?

Like uncomplicated cystitis, the vast majority of acute uncomplicated pyelonephritis (AUP) is caused by E. coli (75-95%). Additional pathogens include other Enterobacteriaceae (e.g., Klebsiellaspp.)

Which of the following symptoms would most likely indicate that the client has pyelonephritis?

Symptoms usually include fever, flank pain, nausea, vomiting, burning on urination, increased frequency, and urgency. The 2 most common symptoms are usually fever and flank pain. Acute pyelonephritis can be divided into uncomplicated and complicated.