Pyelonephritis Acute

Acute pyelonephritis is an inflammation of the renal pelvis and kidney parenchyma caused by infection. This is an acute disease that can lead to serious complications if not treated promptly and correctly.

Causes

Acute pyelonephritis is usually caused by bacteria entering the urinary tract from the intestines. The most common pathogens are E.coli, Proteus, Klebsiella, enterococci, and staphylococci. Risk factors include urinary outflow disorders, urolithiasis, urinary tract abnormalities, weakened immunity, and pregnancy.

Symptoms

1. Heat
2. Chills, weakness
3. Pain in the lumbar region
4. Frequent urination
5. Pain when urinating
6. Cloudy urine mixed with blood

Diagnostics

The diagnosis is made based on the clinical picture, urine and blood tests, and ultrasound of the kidneys. It is important to distinguish acute pyelonephritis from other diseases of the kidneys and urinary tract.

Treatment

Treatment includes antibiotics, painkillers, uroseptics, and infusion therapy. Antibiotics are selected taking into account the sensitivity of the pathogen. Fluoroquinolones and cephalosporins are usually prescribed. Duration of treatment is 7-14 days. Severe forms may require hospitalization.

The prognosis with timely treatment is favorable. Relapses are possible, so after recovery it is necessary to prevent exacerbations. Complications may include kidney abscess, sepsis, and renal failure.

Prevention consists of timely treatment of urinary tract infections, drinking regimen, and maintaining immunity.

Thus, acute pyelonephritis is a serious disease that requires immediate medical attention and adequate therapy. Timely treatment prevents the development of complications and chronicity of the process.