Treatment FAQ

what is pyelonephritis treatment

by Dagmar Borer Jr. Published 3 years ago Updated 2 years ago
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Outpatient oral antibiotic therapy with a fluoroquinolone is successful in most patients with mild uncomplicated pyelonephritis. Other effective alternatives include extended-spectrum penicillins, amoxicillin-clavulanate potassium
amoxicillin-clavulanate potassium
Amoxicillin/clavulanic acid, also known as co-amoxiclav or amox-clav, is an antibiotic medication used for the treatment of a number of bacterial infections. It is a combination consisting of amoxicillin, a β-lactam antibiotic, and potassium clavulanate, a β-lactamase inhibitor.
https://en.wikipedia.org › wiki › Amoxicillin › clavulanic_acid
, cephalosporins, and trimethoprim-sulfamethoxazole
trimethoprim-sulfamethoxazole
Trimethoprim/sulfamethoxazole, sold under the brand name Bactrim among others, is a fixed-dose combination antibiotic medication used to treat a variety of bacterial infections. It consists of one part trimethoprim to five parts sulfamethoxazole.
https://en.wikipedia.org › Trimethoprim › sulfamethoxazole
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Mar 1, 2005

Medication

You may need any of the following:

  • Antibiotics treat your bacterial infection.
  • Acetaminophen decreases pain and fever. It is available without a doctor's order. ...
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. ...
  • Prescription pain medicine may be given. ...
  • Take your medicine as directed. ...

Nutrition

The following medicines are used:

  • antibiotics;
  • nitrofurans;
  • non-fluorinated quinolones (derivatives of nalidix and pipemidic acid);
  • derivatives of 8-hydroxyquinoline;
  • sulfonamides;
  • plant uroantiseptics.

How long should you treat pyelonephritis?

What is Kidney (Renal) Infection - Pyelonephritis?

  • Symptoms. Very young children (younger than 2 years old) may only have a high fever. ...
  • Causes. Although the urinary system is designed to keep bacteria out, problems can occur. ...
  • Diagnosis. Many problems in the pelvis and abdomen can cause symptoms that look like kidney infection. ...
  • Treatment. ...
  • After Treatment. ...
  • Frequently Asked Questions. ...

What antibiotics are used to treat pyelonephritis?

  • An untreated urinary tract infection
  • Diabetes
  • Nerve problems that affect the bladder
  • Kidney stones
  • A bladder tumor
  • Abnormal backflow of urine from the bladder to the kidneys, called vesicoureteral reflux
  • An obstruction related to an abnormal development of the urinary tract

How to diagnose and treat pyelonephritis?

What is the best antibiotic for pyelonephritis?

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What are common causes of pyelonephritis?

The main cause of acute pyelonephritis is gram-negative bacteria, the most common being Escherichia coli. Other gram-negative bacteria which cause acute pyelonephritis include Proteus, Klebsiella, and Enterobacter. In most patients, the infecting organism will come from their fecal flora.

What is the first line treatment for pyelonephritis?

Fluoroquinolones (FQ) are the first line empiric treatment for acute pyelonephritis. An effective modality along when given IV or IM or given as a first dose in outpatient treatment.

How long does it take to recover from pyelonephritis?

To heal the infection and stop it from returning, it is common to get two or more weeks of antibiotics. After treatment, urine cultures are used to make sure the infection doesn't return. If it does, two more weeks of medicine is offered. If it happens again, up to 6 weeks of medicine may be used.

How long does it take for antibiotics to work for pyelonephritis?

Most patients with uncomplicated cases of pyelonephritis find that their symptoms begin to improve after one to two days of treatment with antibiotics. However, even after symptoms improve, antibiotics are usually prescribed to complete a 10 to 14 day course.

What is best antibiotic for pyelonephritis?

Outpatient oral antibiotic therapy with a fluoroquinolone is successful in most patients with mild uncomplicated pyelonephritis. Other effective alternatives include extended-spectrum penicillins, amoxicillin-clavulanate potassium, cephalosporins, and trimethoprim-sulfamethoxazole.

What is the difference between a UTI and pyelonephritis?

A urinary tract infection is inflammation of the bladder and/or the kidneys almost always caused by bacteria that moves up the urethra and into the bladder. If the bacteria stay in the bladder, this is a bladder infection. If the bacteria go up to the kidneys, it is called a kidney infection or pyelonephritis.

Can pyelonephritis be totally cured?

Treating pyelonephritis Although drugs can cure the infection within 2 to 3 days, the medication must be taken for the entire prescription period (usually 10 to 14 days). This is true even if you feel better. The antibiotic options are: levofloxacin.

Who is at risk for pyelonephritis?

Although pyelonephritis can occur among any group of people, young women are most at risk, particularly between the ages of 15 and 29. This may have to do with the role of frequent sexual intercourse in introducing bacteria to the exterior opening of the urethra and from there to the bladder.

How is pyelonephritis diagnosed?

Diagnosis and Tests 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 the strongest antibiotic for a kidney infection?

Commonly used antibiotics for kidney infections include ciprofloxacin, cefalexin, co-amoxiclav or trimethoprim. Painkillers such as paracetamol can ease pain and reduce a high temperature (fever). Stronger painkillers may be needed if the pain is more severe.

Is 3 days of antibiotics enough for kidney infection?

As long as there are no complications, you should typically be well enough to leave hospital in 3 to 7 days. Treatment will usually switch to tablets or capsules after you stop receiving antibiotics through a drip.

How do you know a kidney infection is getting worse?

You have symptoms that a kidney infection is getting worse. These may include: Pain or burning when you urinate. A frequent need to urinate without being able to pass much urine.

What Is Pyelonephritis?

Symptoms

Diagnosis

Expected Duration

Medically reviewed by
Dr. Pawan Katti
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Antibiotics are prescribed initially for one week or two weeks and the symptoms should subside within 2- 3 days of antibiotics. If the antibiotics do not give relief, it requires hospitalization and aggressive intravenous antibiotics are administered. Repeated urine and blood test are taken to monitor the infection.
Medication

Antibiotics: Controls the growth and kills the bacteria.

Ampicillin . Levofloxacin . Ciprofloxacin . Cotrimoxazole

Nutrition

Foods to eat:

Following food habits can help prevent the infection:

  • Drinking plenty of water – Drinking water will help to flush out bacteria.
  • Healthy lifestyle – avoid eating junk foods
  • Contains a low amount of sodium
  • Less protein intake

Foods to avoid:

  • Alcohol
  • Artificial sweeteners
  • Black tea
  • Canned soup, broth powder and bullion
  • Carbonated drinks

Specialist to consult

Nephrologist
Specializes in the kidney diseases and its functions.

Prevention

Treatment

When to Call A Professional

  • If your doctor is concerned that you have a kidney infection, he or she will ask you about other medical problems, any past infections and your recent symptoms. He or she will check your vital signs (temperature, heart rate, blood pressure), and will press on your abdomen and flanks to see if there is tenderness near the kidney. In women, the symptoms of pyelonephritis may be similar …
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Prognosis

  • Most patients with uncomplicated cases of pyelonephritis find that their symptoms begin to improve after one to two days of treatment with antibiotics. However, even after symptoms improve, antibiotics are usually prescribed to complete a 10 to 14 day course.
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Further Information

  • To help prevent pyelonephritis if you have had a previous episode or are at risk: 1. Drink several glasses of water each day. Water discourages the growth of infection-causing bacteria by flushing out your urinary tract. This flushing also helps to prevent kidney stones, which can increase the risk of pyelonephritis. 2. If you are a woman, wipe from front to back. To prevent the spread of in…
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