Pyelonephritis

• Symptoms more indicative of pyelonephritis:

  • Flank pain
  • Fever and chills
  • Nausea and vomiting
• Pyelonephritis refers to inflammation of the kidney resulting from bacterial infection

  Inflammation affects the renal pelvis and the parenchyma
• All patients with suspected pyelonephritis should have a urine sample sent for MC&S

  Imaging may be used to exclude other pathology such as kidney stones or abscesses - USS or CT
• First line oral antibiotics in non-pregnant women and men:

  • Cefalexin
  • Co-amoxiclav (only if cultures available)
  • Ciprofloxacin
• First line IV antibiotics in non-pregnant women and men:

  • Cefuroxime
  • Ceftriaxone
  • Ciprofloxacin
  • Co-amoxiclav (only in combination or if culture results available)
• First choice oral antibiotics in pregnant women:

  • Cefalexin
• First choice IV antibiotics in pregnant women:

  • Cefuroxime