Upper UTI Flashcards
what is an upper UTI called
pyelonephritis
what is pyelonephritis
inflammation of the renal pelvic and parenchyma
what type of forms are there
acute and chronic
Aetiology of pyelonephritis
risks are the same as lower UTI
- e.coli
Risks of pyelonephritis
suppressed immune response
catheterization
urine reflux
diabetes (just a higher risk for infections in general)
Patho of pyelonenephritis
progresses in an ascending order
inflammation - tissue damage- formation of collagen depositions (fibrosis and scar formation)
what happens if the infection gets into the circulation
causes septicemia
what does fibrosis/scar formation cause
decrease in functional tissue therefore a decrease in renal function
What is the patho of the chronic form
recurrent inflammation causes urinary reflux/ obstruction
renal damage leads to renal failure
Manifestations of Upper UTI
acute onset lower back pain fever dysuria frequency urgency pyuria
what is a complication of Upper UTI!
severe HTN
Treatment
Ab (10-14 days long d/t advanced bacterium
- may consider IV Ab
