NateenCARE ASSISTANT
Clinical library · Advanced Pathologies

Pyelonephritis

A kidney infection, to be treated without delay.

It occurs when a lower urinary infection travels up from the bladder to one or both kidneys.

The signs: high fever, flank or back pain, nausea, cloudy urine. It calls for a prompt consultation and antibiotics, sometimes by infusion, to protect the kidney.

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More Informations

A kidney infection that requires prompt treatment.

Definition

Pyelonephritis is a bacterial infection of the kidney. It combines fever, chills, back pain and sometimes nausea, and must be treated without delay.

Causes

Most often a cystitis rising to the kidney, sometimes favoured by a stone or an abnormality of the urinary tract.

Diagnosis

  • Clinical examination with pain on percussion of the back.
  • Urine analysis and culture, blood tests.
  • Ultrasound or CT scan depending on severity.

Treatments

Antibiotics adapted to the germ, by mouth or infusion depending on severity, with good hydration. Hospital admission is sometimes needed; a kidney abscess may require drainage.

Nateen advice

During pyelonephritis, fever and fatigue make moving difficult and urine abundant. A Mati underpad on the bed and, if needed, a Combi brief with tabs make care easier until recovery.

Educational content written for families and caregivers. It does not replace a consultation: a doctor, a continence nurse or a physiotherapist makes the diagnosis and chooses the treatment.