title: [Acute pyelonephritis].
abstract: 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.
authors.affiliation: CHU Bretonneau, 2 boulevard Tonnellé, 37044 Tours cedex, France. f.bruyere@chu-tours.fr
authors.forename: F
authors.initials: F
authors.lastname: Bruyère
authors.forename: G
authors.initials: G
authors.lastname: Cariou
authors.forename: J-P
authors.initials: JP
authors.lastname: Boiteux
authors.forename: A
authors.initials: A
authors.lastname: Hoznek
authors.forename: J-P
authors.initials: JP
authors.lastname: Mignard
authors.forename: L
authors.initials: L
authors.lastname: Escaravage
authors.forename: L
authors.initials: L
authors.lastname: Bernard
authors.forename: A
authors.initials: A
authors.lastname: Sotto
authors.forename: C-J
authors.initials: CJ
authors.lastname: Soussy
authors.forename: P
authors.initials: P
authors.lastname: Coloby
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents