title: [Acute pielonephritis and renal abscesses in Piedmont and Aosta Valley].
abstract: The Piedmont Group of Clinical Nephrology compared the activity of 18 nephrology centers in Piedmont and Aosta Valley as regards acute pielonephritis (APN). Data from more than 500 cases per year of APN were examined. The microbial spectrum of APN consists mainly of Escherichia coli and Klebsiella pneumoniae. Diagnosis was based on both clinical and radiological criteria in most of the centers (computed tomography-CT o Magnetic Resonance Imaging-MRI). In four centers diagnosis was made with the radiological criteria and in one center only with the clinical features. CT and MRI were performed in about 47% and 44% of cases respectively. Urine culture was positive in 22 up to 100% of cases. The most commonly used antibiotics were fluoroquinolones (ciprofloxacin or levofloxacin) and ceftriaxone (50% of centers) or amoxicillin/clavulanic acid (25% of centers). In 75% of the centers, patients received a combination of two antibiotics (aminoglycoside in 22% of them ). In 72% of the centers, almost 50% of the patients were re-examined, while 38.8% of centers re-examined all the patients. Renal ultrasound was inappropriate to identify abscesses. The mean of patients in whom renal abscesses were detected by CT or MRI was 18.2%. The analysis shows a high variability in the way of diagnosing and treating APN in Piedmont and Aosta Valley regions. This suggests that even if APN is a frequent pathological condition, practical recommendations are required.
authors.forename: Franca
authors.initials: F
authors.lastname: Giacchino
authors.forename: Giorgina
authors.initials: G
authors.lastname: Piccoli
authors.forename: Loredana
authors.initials: L
authors.lastname: Colla
authors.forename: Roberta
authors.initials: R
authors.lastname: Fenoglio
authors.forename: Federico
authors.initials: F
authors.lastname: Marazzi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Amore
authors.forename: Cristiana
authors.initials: C
authors.lastname: Rollino
authors.forename: Piero
authors.initials: P
authors.lastname: Stratta
authors.forename: Carmela
authors.initials: C
authors.lastname: Vella Maria
authors.forename: Angela
authors.initials: A
authors.lastname: Deluca
authors.forename: Roberto
authors.initials: R
authors.lastname: Boero
authors.forename: Doriana
authors.initials: D
authors.lastname: Chiarinotti
authors.forename: Carolina
authors.initials: C
authors.lastname: Licata
authors.forename: Raffaella
authors.initials: R
authors.lastname: Cravero
authors.forename: Serena
authors.initials: S
authors.lastname: Bainotti
authors.forename: Massimo
authors.initials: M
authors.lastname: Manes
authors.forename: Cristina
authors.initials: C
authors.lastname: Marcuccio
authors.forename: Brigida
authors.initials: B
authors.lastname: Brezzi
authors.forename: Mariano
authors.initials: M
authors.lastname: Filippo
authors.forename: Eugenia
authors.initials: E
authors.lastname: Pignone
authors.forename: Roberto
authors.initials: R
authors.lastname: Reinero
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Radin
authors.forename: Michela
authors.initials: M
authors.lastname: Tamagnone
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis / Q000188:drug therapy; D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D007558:Italy; D007674:Kidney Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents