2 ) Complicated urinary tract infections and pyelonephritis due to " Escherichia coli ", but never as first-line agents.
22.
Severe cases of pyelonephritis can lead to pyonephrosis ( pus accumulation around the kidney ), sepsis ( a kidney failure and even death.
23.
People with acute pyelonephritis that is accompanied by high fever and leukocytosis are typically admitted to the hospital for intravenous hydration and intravenous antibiotic treatment.
24.
Given their appearance in pyelonephritis, these should be seen in association with loose bacteria, white blood cells, and white blood cell casts.
25.
Another virulence factor commonly present in UPEC is the Dr family of adhesins, which are particularly associated with cystitis and pregnancy-associated pyelonephritis.
26.
Nitrofurantoin is not recommended for the treatment of pyelonephritis, and intra-abdominal abscess, because of extremely poor tissue penetration and low blood levels.
27.
Indicative of inflammation or infection, the presence of white blood cells within or upon casts strongly suggests pyelonephritis, a direct infection of the kidney.
28.
"' Glitter cells "'are neutrophils that are found in the urine, most commonly associated with urinary tract infections and pyelonephritis.
29.
However, for serious acute cases of pyelonephritis or bacterial prostatitis where the patient may need to be hospitalised, fluoroquinolones are recommended as first-line therapy.
30.
For the treatment of pyelonephritis during pregnancy, and for the treatment of pyelonephritis caused by gram-positive organisms, amoxicillin or amoxicillin-clavulanate potassium is preferred.
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