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How to treat acute pyelonephritis?

2018-01-10 17:07

Pyelonephritis is a common renal disease, mostly refers to the inflammation of the renal pelvis, mainly due to invasion by the pathogenic microorganisms in the renal pelvis, renal interstitium and renal parenchymal inflammatory lesions, usually associated with urethritis.

Pyelonephritis is a common disease, frequently-occurring disease, and multiple in women, male and female ratio is about 1:10, of which the highest incidence of women of childbearing age, elderly women and infants are also more common. Pyelonephritis can be divided into two stages of acute and chronic, chronic pyelonephritis is an important cause of chronic renal insufficiency. Then acute pyelonephritis should be treated?

Control infection

Commonly used drugs are furadantin; sulfamethoxazole, or sulfamethoxazole, or synergistic sulfadoxine tablets; tetracycline; ampicillin. Gentamicin, kanamycin, chloramphenicol, streptomycin, etc. are available for selection.

24 hours after treatment, the symptoms can be improved, such as 48 hours is still invalid, continue to medication for 3 to 5 days. After discontinuation, follow-up of 2 to 6 weeks (weekly review of urine and bacterial culture 1). If both are negative, then clinical cure.

General treatment, fever and urinary symptoms, should be bed rest, encourage more water. Chronic pyelonephritis treatment: control of infection

Antibacterial drugs can be applied according to the disease and susceptibility testing, usually choose two antimicrobial drugs combined application. Such as sulfamethoxazole plus trimethoprim, doxycycline plus trimethoprim, furadanthin plus gentamicin. Usually 4 weeks for a course of treatment. If the medication 3 to 5 days after the symptoms did not improve, you should change the dressing. After a course of treatment for 5 to 7 days, and then start another group of drug treatment. A total of 2 to 3 groups of drugs, take turns using until normal urine, urine negative so far. The total course of 2 to 4 months.

In summary, is about pyelonephritis disease and treatment of related introduction, patients with pyelonephritis in normal life must also be a full diet and life care, patients in the medication, we must Listen to the doctor's advice, safe medication under the guidance of a doctor.

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