Within the framework of micronutrient medicine (vital substances), the following vital substances are used for supportive therapy: Probiotics The above vital substance recommendations were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, only clinical studies with the highest degrees of … Pyelonephritis: Micronutrient Therapy
If antibiotic therapy has no effect, a kidney abscess may already be present. This abscess must be surgically repaired as soon as possible to prevent urosepsis – blood poisoning – from developing. If left untreated, the mortality of a renal abscess is high!
Medical history (history of illness) is an important component in the diagnosis of pyelonephritis (inflammation of the renal pelvis). Family history Is there a frequent history of genitourinary tract disease in your family? Social history Current medical history/systemic history (somatic and psychological complaints). Have you developed a sudden fever? Have you had any chills? Do … Pyelonephritis: Medical History
Respiratory System (J00-J99). Pneumonia (pneumonia). Liver, gallbladder, and biliary tract-pancreas (pancreas) (K70-K77; K80-K87). Cholecystitis (gallbladder inflammation). Pancreatitis (inflammation of the pancreas) Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93). Appendicitis (appendicitis). Sigmoid diverticulitis – inflammation of diverticula in the sigmoid colon (called the sigmoid loop, sigmoid colon, or sigmoid; fourth and final portion of the … Pyelonephritis: Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by acute pyelonephritis (kidney pelvic inflammation): Circulatory system (I00-I99) Hypertension (high blood pressure) [long-term complication.] Pregnancy, childbirth, and puerperium (O00-O99). Premature birth Reduced birth weight Increased neonatal mortality (mortality) and preeclampsia (high blood pressure during pregnancy) Genitourinary system (kidneys, urinary tract – … Pyelonephritis: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Examination of the lungs (due todifferential diagnosis: pneumonia (pneumonia)): Auscultation (listening) of the lungs. Bronchophony (checking … Pyelonephritis: Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count [leukocytes (white blood cells) ↑] CRP (C-reactive protein) [> 20 mg/l] or PCT (procalcitonin) [> 0.5 ng/ml] Urine sediment (urine examination) [leukocyturia (increased excretion of white blood cells in the urine); leukocyte cylinders are evidential of pyelonephritis; nitrite-positive urine status (as an … Pyelonephritis: Test and Diagnosis
Therapeutic Targets Elimination of the pathogens Avoidance of complications Therapy recommendations Please note the different antibiotic recommendations for the following patient groups with uncomplicated UTI (urinary tract infection) or for uncomplicated and complicated pyelonephritis (see below). A. Nonpregnant premenopausal women (life stage: approximately ten to fifteen years before menopause/very last menstrual period) without other relevant … Pyelonephritis: Drug Therapy
Obligatory medical device diagnostics. Renal ultrasonography (ultrasonography of the kidneys) – as a basic diagnostic test [widened, echo-poor parenchymal fringe may be apparent; evidence of complicating factors such as urinary stones, urinary retention, abscess formation (formation of a pus cavity), residual urine formation, if applicable]Note: Only in circa 50% of all acute pyelonephritides is a … Pyelonephritis: Diagnostic Tests
To prevent pyelonephritis, attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Use of vaginal diaphragms and spermicides – this alters the normal bacterial vaginal flora, so there may be an increase in the bacterium E. coli – Escherichia coli – in … Pyelonephritis: Prevention
The following symptoms and complaints may indicate acute pyelonephritis (kidney pelvic inflammation) (or upper UTI* ): Sudden onset of illness with severe feeling of illness. Fatigue Reduced general condition Chills Flank pain Knocking pain kidney bearing (usually unilateral). Fever > 38 °C (infants: > 38.5 °C) Tachycardia – too fast heartbeat: > 100 beats per … Pyelonephritis: Symptoms, Complaints, Signs
Pathogenesis (development of disease) The most common cause of acute pyelonephritis is ascending (ascending) infection; in addition, vesicouretral reflux (nonphysiologic reflux of urine from the bladder via the ureters into the renal pelvis) is a common cause of pyelonephritis. Hematogenous-descending (ascending via the bloodstream) development is also possible.Common causative agents are E. coli, P. mirabilis, … Pyelonephritis: Causes
