Acute pyelonephritis Flashcards
1
Q
What are the causative bacteria of acute pyelonephritis?
A
E. coli= most common Klebsiella Pseudomonas Proteus STIs, esp in young men
2
Q
What are the risk factors for acute pyelonephritis?
A
Female Sexual activity Pregnancy Anatomical abnromalities Instrumentation Foreign body Stasis of urine DM
3
Q
What is the characteristic presentation of acute pyelonephritis?
A
Loin pain
Fever
Systemically unwell
Urinary symptoms less pronounced
4
Q
What investigations are done for acute pyelonephritis?
A
MSSU dipstick and culture
5
Q
What is the management of acute pyelonephritis?
A
Start on antibiotics immediately and review once cultured- at least 7 days, often levofloxacin or ciprofloxacin
Analgesia and hydration
?hospitalisation
6
Q
What are the complications of acute pyelonephritis?
A
Sepsis
Recurrence
Chronic pyelonephritis
