Acute Pyelonephritis : Diagnostic Studies

  • Diagnostic Studies
    • History and physical examination
      • Palpation for CVA pain
    • Laboratory tests
      • Urinalysis
      • Urine for culture and sensitivity
      • CBC with WBC differential
      • Blood culture (if bacteremia is suspected)
    • Ultrasound
    • CT Scan
  • Interprofessional Care
    • Hospitalization for patients with severe infections and complications
      • Such as nausea and vomiting with dehydration
    • Signs/symptoms typically improve within 48 to 72 hours after therapy starts
    • Drug therapy
      • Antibiotics
        • Parenteral administration in hospital to rapidly establish high drug levels
      • NSAIDs or antipyretic drugs
        • Fever
        • Discomfort
      • Urinary analgesics
    • Relapses may be treated with 6-week course of antibiotics
      • Antibiotic prophylaxis may be used for recurrent infection
      • Follow-up urine culture and imaging studies
    • Urosepsis is characterized by bacteriuria and bacteremia
      • Close observation and vital sign monitoring are essential
      • Prompt recognition and treatment of septic shock may prevent irreversible damage or death