How to treat pyelonephritis

summary

There was an aunt upstairs who had not seen anyone since a few days ago. She didn't know where she had gone. She thought she had gone to other places for tourism. The aunt got pyelonephritis and has been admitted to the hospital. Now talk about how to treat pyelonephritis.

How to treat pyelonephritis

First: general treatment. The purpose is to relieve symptoms, prevent recurrence and reduce the damage of renal parenchyma. Patients should be encouraged to drink more water and urinate frequently, so as to reduce medullary osmotic pressure, improve phagocytic function and flush out bladder cells. Fever and other symptoms of systemic infection should be bed rest. Taking sodium bicarbonate can alkalize urine, relieve bladder irritation symptoms, and enhance the efficacy of aminoglycoside antibiotics, penicillin, erythromycin and sulfanilamide, but can reduce the efficacy of tetracycline and furanitidine.

Second, anti infection treatment. Acute pyelonephritis. The first onset of acute pyelonephritis can choose compound sulfamethoxazole or Pipemidic Acid, norfloxacin. Patients with severe infection and septicemia should be given intravenous administration. Sensitive drugs were selected according to the results of urine culture. For example, cefoperazone and amikacin toxin were more than 90% sensitive to Staphylococcus, Klebsiella, proteus, Pseudomonas aeruginosa and Escherichia coli. The sensitive rate of fluoroquinolones to Proteus, Citrobacter and Klebsiella was more than 80%. Piperacillin, ampicillin and nitrofurantoin were 100% sensitive to group D enterococci. Ketoconazole or fluconazole was used for fungal infection.

Third: chronic pyelonephritis. Acute pyelonephritis should be treated as acute pyelonephritis. Repeated pyelonephritis should be treated by urine bacterial culture to determine the type of bacteria and make sure that the recurrence is recurrence or reinfection. Improper selection of antibiotics or insufficient dosage and course of treatment often lead to relapse. Drugs can be selected according to drug sensitivity and treated for 4 weeks. Long term low-dose treatment can be considered. Generally choose low toxicity antibiotics, such as compound sulfamethoxazole or furadantin, about 605 patients with bacteriuria turned negative.

matters needing attention

The disease of pyelonephritis does not mean that there is no preventive method, but it depends on whether people have the awareness of prevention. In addition to developing a correct life pattern, we must pay attention to personal hygiene and frequently change personal underwear every day. To do proper exercise to enhance physical fitness, diet should be light and so on.