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Main > Kidney Disease > Lupus Nephritis > Lupus Nephritis Basics >
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How To Deal With Pyelonephritis In Correct Method

2018-11-21 11:13

The patients of acute chronic pyelonephritis should be treated according to acute pyelonephritis, and the patients of repeated attacks should determine the type of bacteria through urine bacteria culture to make it clear that this recurrence is a recurrence or reinfection.

Recurrence: After treatment, the strain turned negative, but reappeared within 6 weeks after withdrawal, and the pathogenic bacteria were exactly the same as those of the previous infection. The common causes of recurrence are

Abnormal anatomy or function of the urinary tract, resulting in poor urine flow. It can be confirmed by intravenous pyelography or retrograde pyelography. If there are obvious anatomical abnormalities, they need to be corrected by surgery. If obstruction factors are difficult to remove, appropriate antibiotics will be selected for 6 weeks based on drug sensitivity.

② Improper selection of antibiotics or insufficient dosage and course of treatment often lead to recurrence, which can be selected according to drug sensitivity and treated for 4 weeks. ③ Due to scar formation at the lesion site, poor blood flow and insufficient concentration of antibiotics in the lesion, a large dose of antibacterial agents such as Xianfeng mycin, ampicillin, hydroxybenzene and B gene fusimycin can be used for 6 weeks. Patients with pyelonephritis who have had three or more episodes of urinary sensation within one year are also called complicated urinary sensation. Long-term low-dose treatment may be considered.

Reinfection: Refers to the infection caused by another pathogenic bacterium invading the urinary tract after the bacteria urine turns negative, which usually recurs after the bacteria urine turns negative for 6 weeks. Womens urinary sensation recurred, 85 % of which were reinfected, and could be treated according to the treatment of the first attack, and patients were instructed to pay attention to the prevention of urinary sensation. At the same time, we should check whether there are any susceptible factors and remove them.

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Tag: Antibiotics Reinfection Acute chronic pyelonephritis Abnormal anatomy

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