[Acute pyelonephritis].
The initial management of pyelonephritis needs to look for complicating factors. Ultrasound and X ray of the abdomen are able to rule out a urinary dilatation or a stone. The treatment is then surgical with renal drainage. Additional investigations such as a CT scan should be performed in patients with complicating factors or recurrence. In uncomplicated pyelonephritis a ambulatory treatment with 2 weeks of fluoroquinolones or cephalosporine Gr3 is sufficient. More severe cases should be admitted to a hospital and treated with initial cephalosporin Gr 3 plus aminoside for 3 to 6 weeks.
Bruyère
F
F
CHU Bretonneau, 2 boulevard Tonnellé, 37044 Tours cedex, France. f.bruyere@chu-tours.fr
Cariou
G
G
Boiteux
J-P
JP
Hoznek
A
A
Mignard
J-P
JP
Escaravage
L
L
Bernard
L
L
Sotto
A
A
Soussy
C-J
CJ
Coloby
P
P
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000628:therapy; D011704:Pyelonephritis / Q000175:diagnosis* / Q000628:therapy*; D014463:Ultrasonography; D014551:Urinary Tract / Q000000981:diagnostic imaging; D014567:Urography
D000900:Anti-Bacterial Agents