Acute pyelonephritis
[2023-11-14 06:05:40]
Common symptoms and symptoms include acute fever, chills, hard back or lumbago, nausea and vomiting, and vertebral body angle tenderness.
Diagnosis of pyelonephritis was confirmed by urinalysis and urine culture. Urine cultures obtained before treatment show bacteria, the most common being E. coli.
Empirical antibiotic pathways and selection depend on the severity of the disease and the suspected bacterial susceptibility, waiting for the culture results
Complications are usually caused by inappropriate (erroneous or erroneous dose) antibiotic use or antibiotic resistance, leading to recurrent or progressive infections
Another common cause of complications is inappropriate treatment of an anatomical abnormality (eg, kidney stone or obstruction) to prevent the elimination of bacteria.
Pyelonephritis derived from the Greek "kidney" (pelvis), "kidney" (kidney), and "inflammation" (inflammation) represents severe infectious inflammatory diseases of kidney parenchyma, tendon, body and pelvis, It can be acute. Recurrent, or chronic. Acute infections can be caused by intestinal bacteria such as Escherichia coli that ascends from the lower urinary tract or spreads blood to the kidneys. The majority of the plot is not complicated and will not damage the kidneys after healing. Complex infections are caused by fundamental medical problems (eg, diabetes, HIV), anatomical abnormalities of the genitourinary system, obstruction (eg, benign prostatic hyperplasia, calculus), and / or multidrug resistant pathogens There is a possibility. Urinary tract infection (UTI) is a nonspecific term referring to infections from anywhere in the urethra, from the urethra to the bladder, from the ureter to the kidneys. Pyelonephritis represents kidney infection
Acute pyelonephritis is a potential organ and / or life-threatening infection characterized by causing renal scarring. The onset of acute pyelonephritis can result in severe kidney damage; acute renal injury; abscess formation (eg, kidney, perirenal); sepsis; or septic syndrome, septic shock, and multiple organ failure. Patients aged 5 to 65 usually have symptoms of lower urinary tract infection (UTI) (eg, difficulty of urination, frequent occurrence, urinary urgency, gross hematuria, suprapubic pain) and typical upper urinary tract symptoms (eg, low back pain Regardless of the presence or absence of physical signs and symptoms (fever, chills, abdominal pain, nausea, vomiting, vertebral body horn tenderness etc.) and with or without leukocytosis. However, acute pyelonephritis may appear as a nonspecific symptom
Urinary tract infection (UTI) also enhances individuals' sensitivity to acute pyelonephritis. Many of the bacteria associated with pyelonephritis are the same as those causing cystitis. In addition, women with a history of urinary tract infections may be more likely to develop acute pyelonephritis. The doctor also records the patient's medical history to judge whether there are fundamental diseases such as urogenital abnormalities and diabetes, and whether the patient is sexually living, experiencing stress urinary incontinence We collect information on lifestyle such as. Outside content that may lead to infection
Epidemiological data on the incidence of pyelonephritis is limited. In a group-based study of acute pyelonephritis in the United States, the overall annual rate was found to be -15 for every 10,000 females, and 3-4 for every 10,000 males. In the United States, at least 250,000 cases of pyelonephritis are diagnosed annually. Treatment costs for acute pyelonephritis are estimated at $ 1.21 billion per year. 20 to 30% (2 to 9.5%) of untreated asymptomatic bacteriaura (ABU) pregnant women develop acute pyelonephritis, but the most common are late pregnancy and mid-pregnancy. Due to the low frequency of typical symptoms it is difficult to judge the incidence of pyelonephritis in infants and children. Up to 25% of children with no signs or symptoms of pyelonephritis w