Pyelonephritis

O23.0

DESCRIPTION

Features of pyelonephritis include: temperature ≥38°C, renal angle tenderness, vomiting, tachypnoea, tachycardia, hypotension, confusion.
This condition is more serious and may result in preterm labour.

GENERAL MEASURES

  • Midstream urine for microscopy and culture and sensitivity.
  • Ensure adequate hydration with IV fluids while awaiting transfer.

MEDICINE TREATMENT

Empiric therapy:

  • Ceftriaxone, IV, 1 g as a single dose.

CAUTION: USE OF CEFTRIAXONE
Do not administer calcium-containing fluids, e.g. Ringer-Lactate, concurrently with ceftriaxone.

LoEIII

REFERRAL

All cases.