Acute Pyelonephritis : Diagnostic Studies
- Diagnostic Studies
- History and physical examination
- 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
- 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