Treatment of acute pyelonephritis principle

Treatment of acute pyelonephritis appropriate infection control as soon as possible, but in addition to pyelonephritis-induced adverse factors and symptomatic treatment.
(1) selection of appropriate infection control timely antibiotics, and not wait for the results of urine culture and sensitivity test returns, so as to avoid adversely affect the condition. Generally preferred against Gram-negative bacilli were sensitive to the antibiotics, because 80 per cent of the pyelonephritis is this type of bacteria caused. Or urine smear, Gram staining choose antibiotics. To a wide spectrum of antibacterial antibiotics for good. And the choice of drugs in the blood and urine of both higher concentration, lower renal toxicity. 72-hour drug to be ineffective (not relieve symptoms or urine test no better), for other antibiotics, not frequent dressing.
Use enough treatment is generally 10-14 days, or follow-up treatment ease symptoms 3-5 days. After treatment to follow-up observation, a weekly review of conventional urine and urine cultures, six weeks after the Yin without pyuria and urine can cure that. If the short duration of treatment is not completely, or not review after treatment, it is possible to chronic or recurrent, the full course of treatment and follow-up is very important.
(2) are in addition to factors such as easy to perplex the formal treatment with antibiotics symptoms did not improve, pyuria of urine or not disappear, and treatment should be actively looking for pyelonephritis-induced factors - risk factors. If solve urinary tract obstruction, treatment of chronic diseases, such as metabolic disorders corrected.
(3) symptomatic treatment bed rest and high-calorie, high-vitamin diet help restore the body, it is important to provide them with adequate irrigation water for urinary tract, encourage water to maintain adequate urine. Of urgency, frequency, Niaotong symptoms, may give Atropa belladonna, atropine, and other agents of the pain or take acupuncture therapy (taking Zusanli, Guanyuan, such as extremely or Sanyinjiao point), so as to ease urine pain and dysuria. Serving sodium bicarbonate alkaline urine, and also helps alleviate Nitong such as urinary discomfort.