Acute pyelonephritis2017-01-14 11:40
Acute pyelonephritis:Should be based on the severity of the patient clinically, different treatment options.1. light pyelonephritis
Acute pyelonephritis induced by bacterial species is mainly gram-negative bacteria, Escherichia coli, and optional SMZ 2 tablets 2 times daily, or pipemidic acid 0.5G, 3~4 times a day, or norfloxacin 0.2G, 3 times daily, treatments are 7-14 days.
2. the more serious and severe acute pyelonephritis
More serious cases may be fever, pain rib Ridge angle, elevation of white blood cells, muscle or intravenous antibiotics should be used, Cefazolin sodium 0.5G, 1 or ampicillin 2G every 8 hours, 1 every 6 hours, cefotaxime sodium for injection 2G every 8 hours and 1, 3-5 days later, symptoms improved. Instead, oral antibiotics, 2-3 weeks. Severe acute pyelonephritis with chills, high fever, elevated white blood cells, and shift to left serious infection symptoms of poisoning, such as pathogen the grass often multi-resistant gram-negative bacilli.Should joint medication, common of antibiotics has: ① half synthesis of wide spectrum penicillin: as on green pus Rod Bacillus role strong of oxygen piperazine doxazosin penicillin 40mg/kg, each 6 hours 1 times static drops, benzene ignorant h penicillin 50mg/kg, each 6 hours static drops 1 times; II amino glycosides class antibiotics: as West shuttle mold pigment 1.7mg/kg, each 8 hours static drops 1 times, d amine kanamycin 6mg/kg, daily 8 hours static drops 1 times. Renal impairment when using c third cephalosporin class: cefotaxime, Spore ceftizoxime, and ceftriaxone and Cefazolin ketone, the dose for 30mg/kg, ceftriaxone 1 every 12 hours, cefotaxime 1 every 6 hours and the rest per 8-hour intravenous infusion of 1. 14th after the urine negative conversion rates of up to 90% per cent of seedlings.
(D) chronic pyelonephritis
Medication with acute attack of acute pyelonephritis, chronic phase of treatment is more difficult, you should actively search for and removal of predisposing factors. Often combined with antibiotics, most often 2-4 if invalid or recurrent, President Cheng antibacterial treatment, sensitive drug groups,Rotation, each with one course, discontinuation of 3-5 days, always for 2-4 months, if still invalid, or again, but can be used with low-dose long-term antifungal treatment, 6-12 months of availability, prevents recurrence, in some cases after antibacterial treatment, kidney function can be improved. Repeated episodes of chronic pyelonephritis and reflux nephropathy, and when the medication cannot correct a reflux, you can have surgery.
Prevention of pyelonephritis
For patients with chronic pyelonephritis in order to enhance system and improve the body's defenses. Elimination of predisposing factors such as diabetes, kidney stones and urinary tract obstruction. Actively search for and removal of inflammatory lesions, such as prostatitis, female prostate inflammation, vaginitis and cervicitis. Reducing unnecessary catheter and urinary tract instrumentation, such as prophylactic antimicrobial catheter should be necessarily retained. Repeated episodes of women after sex, be urination after sex and oral administration of a dose of SMZ-TMP. Pregnancy and menstrual period should note that the vulva clean. Use of nilestriol in menopause 1~2mg, 1~2 times a month in order to enhance local resistance forces.