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Management

Authoring team

  • management of any urinary tract infection - more prolonged treatment is required than acute cystitis (1)

  • antibiotic prophylaxis is indicated for patients with recurrent urinary tract infections (2)

  • investigation and treatment of underlying cause e.g. obstruction

  • nephrectomy is indicated in unilateral chronic pyelonephritis when the diseased kidney contributes less than 20% of total renal function (3)

Reference

  1. Managing common infections: guidance for primary care. Public Health England, August 2020 - last updated June 2021
  2. Garin EH et al. Clinical significance of primary vesicoureteral reflux and urinary antibiotic prophylaxis after acute pyelonephritis: a multicenter, randomized, controlled study. Pediatrics. 2006 Mar;117(3):626-32.
  3. Soo Park B et al. Outcome of nephrectomy and kidney-preserving procedures for the treatment of emphysematous pyelonephritis. Scand J Urol Nephrol. 2006;40(4):332-8.

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