00:01 So let's move on to our complicated urinary tract infections and included in this is acute pyelonephritis. 00:08 Prostatitis, catheter associated infection, Emphysematous pyelonephritis, and xanthogranulomatous pyelonephritis. 00:18 So let's talk about acute pyelonephritis, which is what our patient had. 00:22 The symptoms include fever greater than 38 degrees. 00:26 Chills, flank in abdominal pain, nausea and emesis. 00:30 Patients may or may not have symptoms of cystitis Those are those irritate avoiding symptoms that we talked about before. 00:37 The presentations can vary from very mild to sepsis with renal failure. 00:42 Diagnosis and treatment is really going to depend on our urine analysis a urine culture and sensitivity. 00:48 Treatment is important to think about in this particular population. 00:51 There are indications for hospitalization and we have to be cognizant of that. 00:56 So if a patient persistently has high fever greater than 38 4 celcius, inability to maintain oral hydration, or take oral medications or marketability that's going to be an indication for inpatient admission. 01:11 Antimicrobial therapy is going to consist of if patient can be treated outpatient oral fluoroquinolones. 01:19 Inpatient treatment is going to conclude drugs like ceftriaxone. 01:24 If pseudomonal coverage is needed we can use piperacillin-tazobactum, cefepime or cept a city or a fluoroquinolone.
The lecture Acute Pyelonephritis – Complicated UTIs by Amy Sussman, MD is from the course Urinary Tract Infection (UTI).
Which of the following antimicrobial agents provides coverage of Pseudomonas species?
5 Stars |
|
5 |
4 Stars |
|
0 |
3 Stars |
|
0 |
2 Stars |
|
0 |
1 Star |
|
0 |