Question:
How is tx of pyelonephritis?
Author: H KAnswer:
Choice of antibiotics: according to antibiogram – BUT before having the result , we can start empirical broad spectrum treatment -Uncomplicated pyelo. :Oral Fluoroquinolones if stable and IV fluoroquinolone, Ceftriaxone or gentamycin for ill patient until the patient is stable then we convert to oral antibiotics for 14 days – -Complicated Pyelo.: IV antibiotics Ampicillin-Gentamycin , Ceftriaxone or fluoroquinolone -If obstructed kidney --- percutaneous drainage or insertion of ureteral catheter
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