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Lecture 17. Acute Pyelonephritis
Lecture 17. Acute Pyelonephritis
Lecture 17. Acute Pyelonephritis
UTI in Adults •
•
Acute uncomplicated pyelonephritis in healthy women
Complicated urinary tract infection*
• Male sex
• Pregnancy
• Poorly controlled diabetes mellitus
• Obstruction or other structural factor: Urolithiasis, malignancies,
ureteral and urethral strictures, bladder diverticula, renal cysts,
fistulas, ileal conduits, other urinary diversions
• Functional abnormality: Neurogenic bladder, vesicoureteral
reflux
• Foreign bodies: Indwelling catheter, ureteral stent,
nephrostomy tube
• Other conditions: Renal failure, renal transplantation,
immunosuppression, multidrug-resistant uropathogens, health
care-associated (includes hospital-acquired/LTCF-acquired)
infection, prostatitis-related infection, upper tract infection in
an adult other than a healthy woman, other functional or
anatomic abnormality of urinary tract)
• Asymptomatic bacteriuria
Feehally J. Comprehensive Clinical Nephrology. 2019
Common Factors Associated with Complicated UTI
• Complicated UTI is defined as UTI that increases the risk for serious complications or
treatment failure
• Vesicoureteral reflux (VUR) is a congenital or acquired abnormality in which there is
retrograde flow of urine from the bladder to the kidneys.