Acute pyelonephritis

Acute pyelonephritis

Urinary tract infection (upper)

Diagnosis: (pain + fever (rigors)

Pain is sudden in one or both loins.

May radiate to back.

May be dysuria.

High frequency.

Urine analysis is important.

Treatment: (specific treatment (antibiotic) + symptomatic (pain – fever – vomiting ))

Antibiotics: -quinolone group (sulfa in pediatrics: -septazole syr.)

- Ciprofar 250 tab. 500 tab. 750 tab.

- Ciprocin 250 tab. 500 tab. 750 tab.

- Ciprofloxacin 250 tab. 500 tab. 200 vial.

- Rancif 250 tab. 500 tab. 200 vial.

-  One tablet twice daily one hour before meals.

Symptomatic ttt:

Pain: - Olfen = voltaren = adwiflam = cataflam 25 or 50 mg tab. 1×3 after meals.

          -Buscopan = visceralgin = buscopan comp. tab. 1×3.

Vomiting: - Primpran = plasil tab. 1×3 before meals.

                  - Domperidone = motilium = motinorm tab. 1×3.

Fever: - Abimol 500 tab. Pyral 500 tab. 1×3.