STUDY OF THE CLINICAL PROFILE OF PATIENTS WITH CT PROVEN ACUTE PYELONEPHRITIS IN A TERTIARY CARE HOSPITAL
Abstract
Background- Acute pyelonephritis is a common renal infection that causes considerable morbidity.
Materials and methodology- This was a prospective study of a cohort of patients who presented to Sri Ramachandra University, Chennai, India between 2011 and 2013 with a CT proven diagnosis of acute pyelonephritis Data was collected and the patients were followed up till discharge or death. This was then analyzed.
Results- Out of the 100 patients, 52 were male. Most patients were in the 51-60 year age, diabetes was the most common risk factor present in 73% of the patients. Fever was the dominant symptom.18 had emphysematous pyelonephritis. 29 needed ICU care while 3 succumbed.
Conclusions- Acute pyelonephritis is a common infection, typical triad of symptoms are not very common, high index of suspicion is needed in diabetics. CT is very useful in diagnosis and early treatment results in good outcomes.
Downloads
References
2. Salek SB. Infective syndrome in medical microbiology. 4th edition.Pg 740
3. Schaeffer AJ, Rajan N, Cao Q. Host pathogenesis in urinary tract infections. Int J Antimicrob Agents2001. 17(4): 245-251
4. Foxman B, Klemstine KL, Brown PD. Acute pyelonephritis in US hospitals in 1997: hospitalization and inhospital mortality. Annals of Epidemiology 2003.13(2): 144-150
5. Czaja CA, Scholes D, Hooton TM, Stamm WE. Population based epidemiologic analysis of acute pyelonephritis. Clin Inf Diseases 007.4593):273-280
6. Prabhu A, Taylor P, Konecny P, Brown MA. Pyelonephritis: What are the present day causative organisms and antibiotic susceptibilities. Nephrology 2013. 18(6):463-467
7. John MS, Meenakshi K, Munilakshmi P, Reddy PS. Prevalence and distribution of bacterial pathogens causing urinary tract infection in humans: A study from
tertiary care hospital in AP, India.Int J of Curr Microbiology and App Sciences 2015. 4(2):251-257
8. Bouza E,San Juan R, Munoz P, Voss G et al. A European perspective on nosocomial UTIs- Report on the microbiology workload, etiology and antimicrobial susceptibility-ESGNI-003. Clin Micro & Inf.2001.7(10):523-531
9. Stunell H,Buckley O, Feeney J, Geoghegan T et al.Imaging of acute pyelonephritis in the adult. Eur Radiol 2007. 17:1820-1828.
