Please help, pyelonephritis? - wrasse

[ArchivalUser]

Do we need to admit a pt with pyelonephritis to the hospital. I read from kaplan that we do not need to to so. While First aid said that we should. Whilch opinion is correct?

Thanks

[ArchivalUser]

if positive lipstick signs- manage outpatient....oral fluoroquinolones
if negative lipstick signs- iv ampicillin+ iv gentamycin

[ArchivalUser]

what is lipstick signs?

[ArchivalUser]

that is if pt come swith lipstick signs, it means th case is uncomplicated.....and vice a versa

[ArchivalUser]

Hi,

I think that in pyelonephritis is an important disease and we need to admit those patients, or just we need to look general compromise and see whos need to be amitted.

[ArchivalUser]

Generally U could treat Pyelo out patient, But if there are any complications U need to Admit them
Complications:
1. no response to oral ABX
2. unable to take oral ABX
3. signs of urosepsis
4. Pregnancy
5. patient s with any other complications of KUB

[ArchivalUser]

To Amoeba,

Thanks for the explanation. Btw, could you tell me the source of your citation?

Many thanks.