Friday, August 3, 2012

treatment measures for Pyelonephritis principles


Pyelonephritis, also known as urinary tract infections, can be divided into acute pyelonephritis and chronic pyelonephritis in two principle treatment measures are as follows:
(1) the principle of treatment of acute pyelonephritis measures urinary tract irritation obvious, should rest, drink more water to increase urine output, promote bacterial discharge, thus reducing the urinary tract irritation. Oral medication: cotrimoxazole, 2 times a day, two each, while taking sodium bicarbonate tablets each lg, 2 times a day; or norfloxacin, 3 to 4 times a day, each 0.2g ; or nitrofurantoin, 3 to 4 times a day, each 0.1g. Severe symptoms accompanied by fever, can be added with ampicillin (ampicillin) 1g, or gentamicin 80 000 U, are intramuscular injection three times a day, 10 to 14 days for a course of treatment. As invalid, should be drug susceptibility test results, to replace other antibiotic therapy.
(2), pyelonephritis, urinary tract infection treatment principles of the recurrence of pyelonephritis, urinary tract infection by the symptoms disappeared after treatment, urine bacterial cultures were negative, but within six weeks of bacteriuria, and the same strains with the last is the recurrence. Recurrence, use of antibiotics should be based on urine culture susceptibility testing, the dose should be large, with a course of at least six weeks. Repeatedly made, should be given long-term low dose antibacterial therapy.
(3) pyelonephritis, urinary tract re-infection treatment principles pyelonephritis, urinary tract infection after treatment, the symptoms disappeared, and urine culture negative, but discontinued after 6 weeks bacteriuria, and strains with the last difference , that is, re-infection. Re-infection, treatment with the first infection the same. Frequent seizures, such as urinary tract infections, the onset of two or more times within six months can be used long-range low-dose antimicrobial therapy prevention. Specific method: every night before going to bed after voiding, orally once a single dose of antibiotics, the dose of the conventional dosage of 1/3 to 1/2 may make use of nitrofurantoin, amoxicillin (amoxycillin). One week after treatment, urine culture, review a month later, this method for a year or more.
(4) The principle of treatment of chronic pyelonephritis, urinary tract infections to chronic pyelonephritis and other urinary tract infection patients should go to the hospital for treatment, medication carefully under the guidance of a specialist, and in accordance with the urine culture susceptibility testing, timely, accurate and reasonable use of antibiotics, or with Chinese dialectical therapy. Patients should be sure that enhance physical exercise, and attention to the prevention, try to improve their resistance to disease.

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